Eyelid Surgery Q&A
75%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
477 Reviews
Eyelid Surgerybefore & after photos
View Before and Afters

Average Eyelid Surgery Cost: $3,875

Learn about Eyelid Surgery

2,264 people and 797 doctors are talking about Eyelid Surgery

Get Free Email Updates

Lower Blepharoplasty with Laser Resurfacing for Best Results?

asked 3 years ago by crystalgurl in NY
Latest answer by Brooke R. Seckel, MD
Question viewed 1,014 times
Tags: lower eyelids

I was told by a surgeon that transcutaneous or lower Blepharoplasty often causes retraction/ectropion in most cases. If that is true, can laser resurfacing of the lower lid with the transconjunctival approach suffice to produce the most aesthetically pleasing result?

4 answers to Lower Blepharoplasty with Laser Resurfacing for Best Results?

+1

Transconjunctival blepharoplasty with fractional laser resurfacing lower eyelid is excellent option

Traditional lower blepharoplasty with an external lower eyelid incision does weaken lower eyelid support and create a risk of an ectropion or sad eyed look. This traditional approach also DOES NOT rejuvenate the lower eyelid skin-simply removes some of the old damaged skin, but wrinkles and sun damage remain on the lower eyelid skin left behind. Transconjunctival lower blepharoplasty, because the incision is made on the inside, poses less risk to eyelid support and thus ectropion can be... more
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+1

Eye lid Laser and Blepharoplasty can be performed safely

While transcutaneous lower eye lid Blepharoplasty can cause retraction/ectropian of the lower eyelid, this is rare if performed properly and in patients who are good candidates for the procedure. There are several techniques for correcting the eyelids. Some surgical approaches are internal, (the transconjunctival approach) or external (transcutaneous). When I see a patient with very little excess eyelid skin, good lid support, some fine "crepe paper" wrinkles in the skin and... more
James H. Schmidt, MD

Sarasota Plastic Surgeon
+1

Laser plus Surgery a Good Option

There are several options when addressing the lower eyelids including surgery, laser or combinations of both to achieve the desired result. An individual patient must ahve a thorough examination and consultation to discuss what procedures are necessary to achieve this ideal outcome. In general, however, lower eyelid fat pads can be reduced using a transconjunctival approach and the skin can then immediately be resurfaced using either a CO2 or Erbium laser. The laser reduces lines,... more
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon
+1

Blepharoplasty

There are many ways to skin a cat, and laser resurfacing of the lower lid with a transconjunctival fat excision can also cause ectropion and retraction.  Canthopexy and precise treatment can certainly minimize the risk with whichever technique is chosen.
Steven Wallach, MD

Manhattan Plastic Surgeon

Ask a question