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Semin Plast Surg 2017; 31(01): 046-050
DOI: 10.1055/s-0037-1598632
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Update on Lower Lid Blepharoplasty

Michael Murri
1   Cullen Eye Institute, Baylor College of Medicine, Houston, Texas
,
Eric B. Hamill
1   Cullen Eye Institute, Baylor College of Medicine, Houston, Texas
,
Matthew J. Hauck
2   Medical Eye Center, Medford, Oregon
,
Douglas P. Marx
1   Cullen Eye Institute, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
28 February 2017 (online)

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Abstract

Aging changes to the lower eyelids and midface include pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. Either a transcutaneous or transconjunctival approach may be used, though recent trends have favored the transconjunctival technique if procedures require more than simple skin excision. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts. The authors review and detail indications, preoperative evaluation, techniques, and complications of lower lid blepharoplasty.

Keywords

lower lid blepharoplasty - infraorbital fat - tear trough deformity
 

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