Skin Pinch in Cheek Lift?

Could you explain in further detail the skin pinch with support of the corner of the eye, usually with an ultrashort incision cheeklift (USIC)? Thank you.

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7 Doctor Answers | Asked by jackster212 in west palm beach, florida

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Cheek lift with skin pinch could cause lower eyelid deformity

A skin pinch can make an improvement in excess lower lid skin when it is present in the lower lid's natural state. You have to be very careful when doing it in combination with a cheeklift, though, because the natural state is shifted when a cheeklift is done. Obviously, when the cheek is pulled up, it will look like there is extra skin present. However, if all the excess is removed with a skin pinch, then when the cheek tissue relaxes, and it always does, it could pull the lower... more

Skin pinch with cheeklift

The lower eyelid is a very weak structure. Maintaining an almond shape is important for mainatining a normal eye appearance. When skin is removed from the lower eyelid, a downward pull is exerted on the lower eyelid. The greater the amount of skin removed, the looser the lower eyelid, or the more prominent the eyeball is in the eye socket, the more downward pull there is when skin is removed, and the greater the resulting deformity. This deformity usually manifests as a pulling down of... more

Fancy new names for known procedures

The gold standard in medical practice is to properly diagnose the clinical problem, perform the correct procedure in a safe and effective way. The combination of lower lid /cheek lift procedure is a very effective procedure for midface rejuvenation. It is a highly techincal procedure and is not for every patient to have nor for every surgeon to perform. Skin pinch is a very limited procedure that only address a small amount of skin excess. In my mind with time the skin will stretch out... more

Pinch technique is when a conservative amount of lower eye lid skin is pinched with clamp and cut

Best is to break down the your question: 1. Pinch technique: To help the creapy and loose skin of lower eye. The skin just below the lash line is pinched with clamps. This preserves the underlying muscle and does not pull the lower eye lid down. A simple procedure but requires experience and a steady hand. 2. Support of the corner of the eye. Cantopexy, Cantoplasty etc are procedures that thighten the lower eyelid so that it stays up and does not pull down after eye lid surgery or... more

Don't Get Caught Up in Gimick Names

There are many ways to address the lower lid and the cheek. Surgical procedures that have a gimick name don't mean anything. The actual procedure, how it's performed and what the outcome is suppose to achieve is important. A midface lift which address the cheek can be done through several incisions in the lower lid. Depending on what needs to be addressed, ie removal of skin from the lower lid, fat removal from the lower lid or just midface elevation determines the incision to be used... more

This is a rather specific technical question you pose

Dear Jackster212, There are almost as many variations on mid-face/lower eyelid surgery as there are surgeons performing these procedures. This means that individuals considering these procedures should approach unsubstantiated claims regarding the success of a particular approach with a critical eye. The take home message when there are so many surgical approaches to the same area is that nothing works for everyone. There is no secret surgical fix that addressed the lower eyelid issues for... more

Kenneth D. Steinsapir, MD

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Los Angeles Oculoplastic Surgeon

Lateral mini-cheek lift can be done

This is a frequently asked question about lifting of the cheek fat pad through a lower eyelid incision. The lower eyelid can be a weak structure and care must be given not to weaken the support of the lid. Your lower eyelid will not support your cheek. The typical patient who is a good candidate for this type of procedure has a lateral skeltonization of the orbital region and a descent of the cheek fat pad. If you place your finger over the prominent area of the cheek and gently push... more