Skin pinch usually combined with trans-conjunctival blepharoplasty

Lower lid blepharoplasty will continue to be a facial plastic procedure prone to complications and/or poor aesthetic outcome if not performed with care, accurate technique and artistry after appropriate assessment. Because fat removal through a trans-conjunctival approach can leave a patient with additional skin and skin wrinkles, a skin pinch has been advocated by some surgeons.

Other plastic surgeons favor skin resurfacing (peel or laser resurfacing) to tighten skin. Personally, I prefer the skin-muscle flap approach where skin removal (just a little!) is one component of the procedure. In general, complications can be seen even with a skin pinch. I certainly have consulted on patients who where left with ectropion after skin pinch.