Under Eye Bag / Dark Circles treatment
One of the common struggles growing up and ageing is appearance of puffy lower eyelids, under-eye bags, or sagging skin making one look older and also giving an impression of looking constantly tired. puffy eyes or lower eyeballs is one of the most common problems in todays world, with majority of people effected by it. It is attributed to genetic predilection, long working hours, modern lifestyle. Presence of puffy eyes constantly attract question of being unwell or looking tired, these question are often irritating and bothersome.
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Fortunately Dr Rahul Gogoi is regarded among best lower eyelid surgeon in India. with an average of over 100 plus eyelid surgeries operated every Year, Dr Rahul Gogoi has one of the highest lower eyelid or lower blepharoplasty surgeries in India. He trained under Dr Nabil Fakih (Spain) world renowned eyelid surgeon in Spain. Taking his vast experience, Dr Rahul Gogoi has over the years become one of the eminent surgeon in Upper and Lower blepharoplasty in India and Asia.
There two different approaches by Dr Rahul Gogoi on approaching for lower eyelid puffiness or lower eyeball removal.
1. Scarless lower eyeball reduction surgery
2. External lower eyebag reduction surgery
Why does Lower eyeball happen ?
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Our eyeball is housed in a bony socket - the eyeball socket. in order for eyeball not to get injured in an even of injury and to allow the normal movement of the eyeball in all directions enabling us to see properly, the eyeball is surrounded with eyeball fat. The lower portion of the eyeball fat is normally held in its regular position by the Orbital septum ligaments, the lower eyelid muscle and the lower eyelid skin. In young age, the orbital septal ligaments are tighter, the lower eyelid muscle and skin are much more stronger and tighter. These tight and younger tissues hold the eyeball fat inside, thus preventing any lower eyeball formation.
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As we grow older, the orbital septal ligaments become lose, the lower eyelid muscle become more lax and lower eyelid skin loses its taut skin texture. As these changes happen, the lower eyelid and its ligaments are unable to hold the orbital fat. thus the fat starts to pop out and become more and more visible. This is further aggravated by the dropping of the cheek fat downwards due to ageing and gravitational pull. These 2 factors contribute to the formation of the lower eyelid puffiness. These changes are often li need to the following
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1. Aging - There is natural loss of collagen in the skin and muscle leading to loss of their eialsticity
2. Genetics - Family genes play a very important role in the appearance of lower eyeballs contributing to puffy eyes. If there is familial tendencies, the chances of lower eyeballs is even higher at a much younger age
3. Allergies - Certain allergies such as chronic sinusitis can increase the puffiness of the Lowe eyebags
4. Fluid retention - Sometime high salt intake or hormonal imbalance can also cause lower eyelid puffiness
5. lifestyle - certain lifestyle habits such as, smoking, excessive alcohol consumption and lack of sleep can also lead to excessive lower eyeball and puffy lower eyelids
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These factors also play important role in puffy eyeball problem. Here we will be discussing on the two types of lower eyelid surgery performed by Dr Rahul Gogoi. we will also discuss the total cost of lower eyelid blepharoplasty surgery in Guwahati, India.​
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Scarless Lower ​Eyebag removal surgery and cost
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Scarless lower eyeball surgery is performed by Dr Rahul Gogoi by using transconjunctival approach and lower eyelid fat transpositioning. Dr Rahul Gogoi prefers to re-position the lower eyelid fat towards the cheek fat. One of the key things that happen during most lower eyeball formation is the sagging of the cheek fat. the connection between the bone and the lower eyelid fat ligament prevents the lower eyelid fat from drooping down, but it hangs outside giving the lower eyelid puffiness. The cheek fat below the the eyelid fat with advancing age sags downward. This downward sag causes a hollowing out of the skin just below the lower eyelid fat bags, which is known as tear through deformity. Only removing of the lower eyeball fat can cause hollowing of the lower eyebags. The word over accepted technique to address this issue is by transpositioning the lower eyelid fat across the tear through defect into the cheek fat. Although this is the better technique, but due to the fat transpositioning technique being more complex surgically, it is less performed by majority of the surgeon across India. However Dr Rahul Gogoi, always prefers to perform Lower eyelid fat transpositioning surgery. The lower eyelid fat transfer surgery need higher level of expertise in recognising the different layers of the cheek tissues, this enables an experienced surgeon to precisely positioned the lower eyelid fat to proper position.. The cost of Lower eyelid blepharoplasty With fat transpositioning comes around Rs 1,20,000 at RGIMS Clinic Guwahati, India. This cost includes surgeon charges, anaesthetist charges, in operation medicine charges and 3 day stay at RGIMS Clinic Guwahati.
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Preparing for Lower Eyelid surgery
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A. First is consultation with Dr Rahul Gogoi. He does both online video consultation as well as clinical consultation. During consultation Dr Rahul Gogoi will have a proper examination and then he will be discussing about the lower eyebag removal surgery. the details on how the lower blepharoplasty will be done, he will also discuss on the recovery process after the eyebag removal surgery. Once your eyelid surgery consultation is done, the RGIMS Clinic team will discuss the details on your total cost of lower blepharoplasty surgery.
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B. The average cost of lower eyelid surgery in India normally ranges between Rs 60,000 - 2,00,000. The average cost of Lower eyelid Surgery in Delhi and Mumbai general range between Rs 1,60,000 - 2,00,000. Then scarless lower eyelid surgery cost is higher above Rs 2,00,000. At RGIMS Clinic Dr Rahul Gogoi, The cost of Lower eyelid / Lower eyebag surgery is Rs 1,20,000. This includes 3 day stay and anaesthesia charges. Additionally one has to include cost of Pre surgical blood test, which can be done at nearest medical laboratory. it normally ranges around Rs 7,000 - 10,000.
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The Total break up of the cost of Eyebag Surgery
1. Pre surgical blood test - INR 7,000 - 10,000
2. Eyebag Surgery cost - INR 1,20,000
3. Discharge Medications - INR 5,000 - 7,000
C. Post lower blepharoplasty surgery, Normally we advice eyelid ice packing for about 20 minutes 3-4 times daily for 3-5 days. This helps in reducing the post blepharoplasty swelling. The stitches are removed on the 14th day post lower blepharoplasty. We have partner clinics across india in major cities including Delhi, Mumbai, Hyderabad, Chennai, Kolkata, Bangalore for our patient convenience . As Dr Rahul Gogoi being among the best Facial Plastic Surgeon and among the best lower blepharoplasty surgeon, he has patients travelling from different parts of India and world for lower eyebag surgeries.
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External Lower Blepharoplasty Surgery ​
External lower eyeball surgery is performed by Dr Rahul Gogoi by using External Sub ciliary approach along with lower eyelid fat transpositioning. Dr Rahul Gogoi prefers as explained before the re-positioning of the lower eyelid fat towards the cheek fat. The patient who are the candidates for external lower blepharoplasty surgery technique are people with excessive lose skin with wrinkle formation along the lower eyelid skin. This surgical technique is more preferred for older patients with skin excess. Often Dr Rahul Gogoi combines this technique with a deep plane mid face lift or a sub perisoteal cheek lift surgery. Depending on patient preferences stand alone external lower blepharoplasty is also done by Dr Rahul Gogoi.
The cost of External Lower eyelid blepharoplasty With fat transpositioning comes around Rs 70,000 - 1,20,000 depending on anaesthesia preference of the patient. This cost includes surgeon charges, anaesthetist charges, in operation medicine charges and 3 day stay at RGIMS Clinic Guwahati. Normally the cost of external blepharoplasty in Delhi and Mumbai due to higher hospital charges comes around Rs 1,60,000 - 2,00,000 or even higher. In RGIMS Clinic Guwahati, as Dr Rahul Gogoi is the director of the hospital, the cost lower eyebag surgery (external skin approach) is kept more affordable
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Preparing for Lower Eyelid surgery
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A. First is consultation with Dr Rahul Gogoi as described before. He does both online video consultation as well as clinical consultation. Dr Rahul Gogoi is also available in Delhi on selected dates for consultation and surgeries in Delhi. During consultation Dr Rahul Gogoi will be conducting a proper examination and then he will be discussing about the lower eyebag removal surgery, he will also discuss on a deep lane mid face lift or cheek lift, if they are indicated or if the overall results will be better with a proper deep plane mid facelift instead of a stand alone external skin approach lower eyebag surgery. The details on how the lower blepharoplasty will be done, he will also discuss on the recovery process after the eyebag removal surgery. Once your eyelid surgery consultation is done, the RGIMS Clinic team will discuss the details on your total cost of lower blepharoplasty surgery (external skin approach)
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B. The average cost of lower eyelid surgery (external skin Approach) in India normally ranges between Rs 1,60,000 - 2,00,000 or higher depending on the hospital and in bigger metro cities. The average cost of Lower eyelid Surgery (external skin incision) in Delhi and Mumbai general range between Rs 1,60,000 - 2,00,000. At RGIMS Clinic Dr Rahul Gogoi, The cost of Lower eyelid / Lower eyebag surgery (external skin incision) is Rs 70,000 - 1,20,000 depending on the choice anaesthesia. This includes 3 day stay and anaesthesia charges. Additionally one has to include cost of Pre surgical blood test, which can be done at nearest medical laboratory. it normally ranges around Rs 7,000 - 10,000.
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The Total break up of the cost of Eyebag Surgery
1. Pre surgical blood test - INR 7,000 - 10,000
2. Eyebag Surgery cost - INR 70,000 - 1,20,000
3. Discharge Medications - INR 5,000 - 7,000
C. Post lower blepharoplasty surgery, Normally we advice eyelid ice packing for about 20 minutes 3-4 times daily for 3-5 days. This helps in reducing the post blepharoplasty swelling. Since there are multiple stitches on the skin, Dr Rahul gogoi expert lower blepharoplasty team will be also instructing you on how to keep the surgery site clean. The stitches are removed on the 10th day post lower blepharoplasty. We have partner clinics across india in major cities including Delhi, Mumbai, Hyderabad, Chennai, Kolkata, Bangalore for our patient convenience . As Dr Rahul Gogoi being among the best Facial Plastic Surgeon and among the best lower blepharoplasty surgeon, he has patients travelling from different parts of India and world for lower eyebag surgeries.
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