What is a "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 Wishes,
DoctorMeade

The pinch blepharoplasty is a procedure that's been designed to address minimal amounts of excess lower eyelid skin. This procedure effectively treats minimal wrinkles and skin excess when fat pads aren't an issue.The procedure utilizes tissue forceps to pinch the skin and estimate how much skin can be removed. This approach, hopefully, avoids over resection of skin and subsequent ectropian development.The procedure is associated with excellent clinical results, but has limited clinical application. The vast majority of patients who require blepharoplasty need more aggressive procedures.If you're considering blepharoplasty, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Thank you for your question. This is an excellent procedure when only a minimal amount of skin needs to be removed from the lower eyelids. This is not for people with puffy or baggy eyelids. It is a rather easy procedure to perform and recovery time is quite quick. An oculoplastic surgeon evaluates the eyelids and determines if the pinch technique is appropriate.

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

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 be done with a chemical peel in certain people. This types of manuevers are generally used selectively and as such, they are used commonly but not necessarily routinely.

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 removed with a "pinch".
Not every cheeklift "gives" tissue to the lower eyelid. Cheeklifts performed through the mouth and temple do not, in my opinion, rejuvenate the lower eyelid although they can elevate the cheeks nicely in the right patient, especially if an endotine type device is used. Cheeklifts that are aggressive, violate the orbital septum are more likely to pull down or alter the eye shape.
When you are looking at before-after pictures, look carefully at eye shape. Is the eye shape the same or better than before the surgery or is it altered? Without asking a single question, you can tell volumes from before-after pictures if you look carefully.

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

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. The peel resurfaces the skin, creating some subtle tightening and some more significant smoothing.
In recent years, I've found this more effective than just a peel alone for many patients.
All the best,
--DCP

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 the blood supply and making essentially bloodless removal of the pinched skin.
It is also occasionally performed with a transconjuntival blepharoplasty in which the fat is removed from inside the eyelid.
The advantage of the procedure is relatively little surgery with quicker recovery. The disadvantage is the limits of the procedure and inability to address the fat and muscle if they are contributing to the undesireable appearance of eye.

Hi there.  I think you may be referring to a lower lid skin pinch.I typically offer a lower lid trans-conjunctival blepharoplasty.  Instead of approaching the fat pads from the outside (trans-cutaneous blepharoplasty) the dissection is actually performed from behind, within the eyelid.  The trans-conjunctival blepharoplasty is usually combined with an external skin pinch, to remove the redundant skin, once the fat pads are removed and deflated.Hope this answers your question.  Good luck.