Would a lower blepharoplasty benefit me? I have excess thin crepey skin

Question

I was recently told by Dr Kimberly Lee that a lower eyelid skin pinch would benefit me because I have excess thin crepey skin. Is this procedure common and does it leave a bad scare?

Michael P. Morrissette, DDS, FACS · Answer

Without photos, it would be difficult to determine if you are a candidate for this procedure. In general, it is a safe procedure to help manage crepey lower eyelid skin. I usually recommend a simultaneous TCA chemical peel to address the area below the pinch blepharoplasty. Recovery is very rapid.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Michael I. Echavez, MD · Answer

A lower eyelid skin pinch procedure is a very common procedure.  This can help to rejuvenate the lower eyelid area in appropriate patients.  An examination or photos of you would be needed to determine if you might be a good candidate for the procedure.

Marc Polacco, MD · Answer

Thank you for your question. Excising a small amount of lower eyelid skin (pinch blepharoplasty) is commonly performed, and typically the scar hides well just under the lash line. I like to perform this in conjunction with skin resurfacing, which serves to treat fine lines and tighten the skin further, as well as stimulate collagen production.

Christopher C. Lo, MD · Answer

At times a small skin pinch can help with excess skin and wrinkles in the lower eyelid area. Of course, it is important not to remove too much skin as this can cause lower eyelid retraction. I tell all my patients that the skin in this area cannot be tight as a drum as the eyelids are a dynamic region of the face and the muscles are active in this area. If this is a skin quality issue, I often will pair this pinch with a chemical peel or CO2 laser. Take care and be well.

Would a lower blepharoplasty benefit me? I have excess thin crepey skin

Answers (5)

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