Transconjunctival approach in lower eyelid blepharoplasty

Upper eyelid approach to lower eyelid blepharoplasty.

Lower Eyelid Blepharoplasty

In no other area of facial aesthetic surgery is such a fragile balance struck between form and function as that in eyelid modification. Owing to the delicate nature of eyelid structural composition and the vital role the eyelids serve in protecting the visual system, iatrogenic alterations in eyelid anatomy must be made with care, precision, and thoughtful consideration of existing soft tissue ...

IDEAS AND INNOVATIONS Upper Eyelid Approach to Lower Eyelid Blepharoplasty

Transcutaneous lower blepharoplasty addresses excess skin, muscle, and fat through an infraciliary cutaneous incision. This approach offers excellent exposure to the fat pads; however, violation of the orbital septum may result in postoperative lower eyelid retraction, with resultant aesthetic disfigurement as well as exposure keratoconjunctivitis.1 The transconjunctival approach to lower bleph...

Lower Eyelid Pinch Blepharoplasty

Lower eyelid position after transconjunctival lower blepharoplasty with versus without a skin pinch.

PURPOSE To evaluate the effect of transconjunctival lower blepharoplasty with or without a skin pinch on lower eyelid position. METHODS Retrospective analysis of patients undergoing bilateral lower blepharoplasty using a transconjunctival approach with or without a skin pinch. Patients undergoing other surgical procedures that could affect lower eyelid position were excluded. Twenty-five pati...