In very rare instances, the eyelashes after eyelid surgery become dormant although should the problem occur it generally resolves on its own after several months.
During a lower eyelid surgery, a fine incision is made very close to the lower lash line in an attempt to conceal the scar. However, the very same “line of thought” could injure the hair follicles, which may not grow back.
Sometimes, the damaged lashes do grow back but because of the adjacent scar tissue they become misdirected and/or too sparse. While it may be tempting to use Latisse (a gel that helps the lashes grow thicker and longer), this should not be used on the lower eyelid.
Furthermore, eyelash transplant is inadvisable because the grafts tend to grow too long and too quick to the point that they could irritate the eyes, as suggested by Los Angeles plastic surgery experts.
Skilled plastic surgeons know the importance of precise scar placement during a lower eyelid surgery: There is a fine line between positioning it too close that the hair follicles become injured, or too far that it becomes visible.
Instead of using an exterior incision placed closed to the lower lash margin, patients with under eye-bags primarily caused by excess fat—with no or very little loose skin—the best approach is to place the scar inside the actual lower lid. Through this technique, the surgeon is able to excise a small piece of fat and/or transpose it so the lower lid surface would be almost the same as the upper cheek.
Whether the eyelid surgery involves the use of exterior or interior incision placement, the hair follicles might be damaged without meticulous surgical maneuvers. For this reason a prudent patient makes sure that she only deals with a board-certified plastic surgeon who performs the surgery on a regular basis, ideally over a hundred procedures every year.
Aside from having “extensive” experience, the “right” surgeon for the job should also have a good eye for detail. Fortunately, the before-and-after photos of his previous patients can shed light on his “artistic skills,” which play a critical role in plastic surgery.
The before-and-after photos should have no visible stigmata such as lid retraction, poor scarring, and obvious asymmetry.