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What is a "Pinch Blepharoplasty"

asked 2 years ago by anon
Latest answer by William Portuese, MD
Question viewed 3,371 times
Tags: technique

Please explain how surgeoes do a "pinch blepharoplasty". Is it commonly done? Does this technique minimize the risks of surgery?

13 answers to What is a "Pinch Blepharoplasty"

Pinch blepharoplasty- pluses and minuses

We typically do not perform pinch blepharoplasties as a standalone procedure. The reason for this is simple. It too often changes the eye shape to a pulled down or rounded appearance. The change in the eye does not appear right away; it usually takes months. Patients notice their eyes look sad or that too much white shows. When we perform an ultrashort incision cheeklift, then the cheeklift essentially "gives" tissue to the lower eyelid, and this can then more safely be... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Pinch Blepharoplasty (Eye tuck or lift) lower eyelid

A pinch blepharoplasty generally refers to a procedure performed on the lower eyelid. Any eyelid procedure can address skin, muscle or fat. This can be complex and require greater intervention. However, a pinch only removes the skin. It is commonly performed in combination with a cheek lift or midface lift which can push loose skin into the eyelid area. Rather than do a "complete" eyelid procedure, the excess skin is pushed and gathered into a ridge. This ridge is pinched thereby crushing... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

The "pinch and peel" approach to eyelid rejuvenation

When the lower eyelids show only excess skin and wrinkling but little to no protruding fat, I'll usually recommend a "pinch and peel" approach. This adds a chemical peel to the traditional skin pinch lower blepharoplasty. Under local anesthesia, the excess skin (and a tiny bit of muscle) is pinched up with a special instrument just beneath the lash line and trimmed away. Fine sutures close the wound. Once that's healed, I like to perform a chemical peel of the lower eyelid skin.... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

The pinch blepharoplasty

As Drs. Placik and Aldea have mentioned, a "pinch" blepharoplasty addresses excess lower eyelid skin only. While it is deceptively simple, if a patient has loose lower eyelids as determined by preoperatively pulling down and pulling out on them, there is still a distinct possibility of the lower lid dragging down during recovery (called an ectropion) which can be very difficult to fix at times.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Pinch Blepharoplasty (Eye Job)

A "pinch Blepharoplasty" is the removal of ONLY excess lower lid skin as contrasted to a Lower Lid Blepharoplasty which refers to EITHER a TRANSCUTANEOUS Blepharoplasty (incision though lower lid skin with removal of excess skin, muscle and fat) or a TRANSCONJUNCTIVAL Blepharoplasty (incision though the inner lining of the lower lid in which lower lid fat is either re-arranged or removed). Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Pinch blepharoplasty

A pinch blepharoplasty relates to the excess skin on the lower lids once the fat has been removed. The puffiness on the lower lids is caused by excess fat, which is removed, usually from an inside incision called the transconjunctival approach. Once the fat has been removed there is usually excess skin, and this is pinched on the lower lid just immediately below the lash line and then either sutured or glued together.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Pinch Blepharoplasty

Hello, When performing a pinch blepharoplasty, the surgeon will pinch a small amount of skin and remove it. The surgeon will then stitch it together carefully. It is important to be conservative, otherwise the procedure may cause lower eyelid retraction. And every surgery has its risks. Hope this helps answer your question. Thank you and best of luck. Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Pinch Blepharoplasty

This technique in blepharoplasty is classically a maneuver done with minimal skin removal that is calculated by pinching the skin together with a tiny forceps. It's done to calculate a minimal amount in order to not overdo the operation. This technique is indicated when there is minimal skin excess, minimal wrinkling and no structural deformity of the lower lids. Your board certified plastic surgeon can evaluate your anatomy and see if you are a good candidate for this procedure. Best... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Pinch Blepharoplasty

A pinch blepharoplasty is a procedure that removes lower eyelid skin using a pinch technqiue in terms if determining the excess. You still have to be careful of not removing too much and considering a canthopexy as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

A skin pinch is part of lower eyelid surgery

A skin pinch is primarily used when performing a transconjunctival lower blepharoplasty. If a small degree of skin wrinkling is present, an option for addressing this is to pinch up a small amount of skin just below the lower eyelid lashes. A forceps is used to forcefuly pinch the skin which is then cut with a scissors and then sutured together. This approach cleans up the lower eyelid skin without the risk of alterting the contour of the lower eyelid. The same type of skin firming can... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

The benefits of a pinch Blepharoplasty

The pinch blepharoplasty was designed to reduce the amount of skin removed from the lower eyelid and therefore decrease the incidence of a rounded eye look. The technique involves pinching the lower eyelid skin with a pair of forceps to measure the amount of excess skin, and then removing this minimal amount along the lower eyelash. If there is any puffiness from fat herniation, this can be removed from a transconjunctival approach (from the inside of the eyelid) at the same time. I believe... more

Robert M. Jensen, MD
Medford Plastic Surgeon

Pinch blepharoplasty is sometimes done with other lower eyelid procedures

A “pinch” in lower blepharoplasty refers to a subtle removal of skin just below the eyelashes. It is used to achieve additional skin tightening in those patients undergoing a posterior or transconjunctival lower eyelid fat removal. This procedure does tend to work well in this setting noted above but there are other procedures which work well also. We find that laser resurfacing with low energy level CO2 laser and also the Fraxel will give good results. Hope this helps... more

J. Timothy Heffernan, MD
Seattle Oculoplastic Surgeon

drtimheffernan.com

Lower Eye Lid "Pinch" Blepharoplasty

Hi, Pinch blepharoplasty is commonly performed to remove excess lower eye lid skin only. It does minimize the risks of eye lid surgery as it is a "skin only" procedure. Your surgeon must make sure to take only enough skin so as to not distort the lower eye lid and cause an ectropion. Good luck and be well. Dr. P