An Update on Lower Lid Blepharoplasty

Michael Murri; Eric B. Hamill; Matthew J. Hauck; Douglas P. Marx

doi:10.1055/s-0037-1598632

Seminars in Plastic Surgery, Table of Contents

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

¹Cullen Eye Institute, Baylor College of Medicine, Houston, Texas

,

Eric B. Hamill

¹Cullen Eye Institute, Baylor College of Medicine, Houston, Texas

,

Matthew J. Hauck

²Medical Eye Center, Medford, Oregon

,

Douglas P. Marx

¹Cullen Eye Institute, Baylor College of Medicine, Houston, Texas

› Author Affiliations

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

Full Text

References

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