Lower eyelids typically require more maneuvers than upper eyelids for both to look evenly rejuvenated. Skin quality is more visible on the lower eyelids. So besides removing loose skin it may be necessary to improve its texture with either a laser or chemical peel treatment at the same time. Older patients with weak lower eyelids may require a tightening procedure in the outer corner. This patient is actually a candidate for that but this would change his eye shape considerably, a prospect outside our goals. Instead he had only a temporary tightening to get him through the swelling period. In contrast, young patients with familial bags typically just need them removed as a single maneuver. In any event, regardless of what is involved, patients generally look good in two weeks after upper and lower eyelid surgery.
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