Lower Lid Blepharoplasty

Michael A. Persky, MD answers: Which Blepharoplasty surgery technique works best?

I'm looking into lower lid Blepharoplasty and have received two contraditctory opinions:

(1) that it can be done from the inside

(2) it should be done from the outside.

I don't know which procedure is best? Also, I'm interested in Fractional Laser Resurfacing and wonder if the MiXto is the right laser for me. Any comments would be appreciated.


Michael A. Persky, MD
13 months ago
By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Stephie,

I prefer doing most blepharoplasties from the "inside" or through a tranconjunctival approach.  I agree with Dr. Berkowitz regarding the benefits of this approach.  If the over lying skin requires tightening, then I use Fraxel re:pair fractionated CO2 laser; sometimes I will use the older traditional CO2 laser.

Mixto is a good fractionated CO2 laser.  Whether it is right for you is difficult to answer without examining your skin, and knowing what your expectations are.  Good luck and be well.

Dr. P

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