Current treatments for lower blepharoplasty

Correction of the lower eyelid is one of the most common and challenging surgical procedures in the realm of facial rejuvenation. There have been several basic surgical methods reported for treating lower blepharoplasty. In standard lower blepharoplasty, the lower eyelid is opened by subciliary incision and a skin-muscle flap is then elevated. Excess orbital fat is removed if necessary. For patients who have a deep nasojugal groove and baggy eyelids, the fat pad sliding technique developed by Loeb and Hamra is recommended. Transferring the orbital fat across the infraorbital rim allows a youthful lower eyelid with convexity to be created. To prevent eyelid ectropion, great care must be paid not to cut away too much skin. The typical candidate for transconjuctival blepharoplasty is a young patient who has orbital fat herniation but does not have an excess amount of skin. Fat injections along the nasojugal grove may be considered as an alternative method. To obtain better results, close attention to the underlying anatomic features should be paid and the proper choice of surgical procedure is also very important.