Lower lid pinch vs lower blepharoplasty? (photo)

you need to have fillers in the lower eyelids, plus chemical peel and neurotoxin injections of the crows feet and lower eyelids. 

Hello.  Based on the photo and your age, I think a skin resurfacing procedure (either chemical peel or laser) will achieve a nice tightening of the lower lid wrinkling.  I don't recommend a lower blepharoplasty (either pinch or transconjunctival) for you at this time.  If you are serious about pursuing a procedure, make sure you find a board certified surgeon for a consultation.  Take care.

Good morning!Looking at your photos I agree that you do not have excess fat- just some thin skin that could use tightening.  I would recommend ablative laser resurfacing of your lower lids- done properly you would get great results.  You would have some downtime as the skin reepithelializes - count on about 7 to 10 days before makeup could be used.It is critical that you see a surgeon that has a lot of experience using this technique-- be sure to do your research and ask to see before and afters of their work.I hope this helps

Thank you for sharing your photos.  Many people present to my practice asking your exact question.  In your case, I would not recommend surgery to correct the condition.  You are young and do not have extra skin around your eyelids, so removing it with surgery will cause your eyelid to pull down (eyelid retraction) later in life.You have dynamic wrinkling that is best corrected with small amounts of botox or xeomin injections to weaken the orbicularis oculi muscle..  Filler injections to your tear trough may also be a good idea to smoothen the transition from your eyelids to your cheeks.  Finally, chemical peels or laser resurfacing can give you a general tightening of the skin around your eyes and face.  Good luck!

Thank you for the question and photos. Your eyelids are not ready for either of the surgical procedures you are considering. You would have less risk and probably have improvement with Botox injections followed by Erbium Laser Skin Resurfacing. Make a consultation with an experienced board certified Oculoplastic Surgeon for evaluation. Good luck.

I think that you can achieve a significant reduction in your excess lower eyelid skin excess with a skin only (or pinch) blepharoplasty , without violating your muscle or orbital septum.  The incision should hide nicely below you lash line.

Hi there.  Please understanding that the definitive answer rests with an in-person exam and consultation.  Given your age and the overall presentation, a surgical intervention may be less indicated.  Options include Botox as well as laser resurfacing.Hope this is helpful.Regards,Dr. Shah

For a young patient with upper lower eyelid rolls and some creepy skin, a pinch blepharoplasty may be helpful. Iy is important to remember that there is no procedure that is going to eliminate all skin wrinkles while smiling.

A lower lid and pinch blepharoplasty is usually performed on patients over 50 years of age when there is excess skin at rest, not upon animation. At age 28, you're also not a candidate for lower eyelid blepharoplasty.  For the dynamic wrinkles of the lower lids, consider laser treatment or Botox for the crows feet

Looking at your pictures is apparent that you are young but have a mild excess skin problem when you smile.A lower eyelid skin pinch surgery will help with this problem, But because of your age and the outside scar that it can produce I feel compelled to share with you my experience with resurfacing and Botox combination of the lower eyelid area. These last 2 procedures when used in combination will help in decreasing the bunching and excess skin on the lower eyelid area.Please consult your Facial/Plastic Surgeon.Hope this helsp,Dr. Gus Diaz