Skin Pinch Unwanted Side Effects or Risks?

The scarring from a skin pinch procedure is usually minimal. In most patients it is fact undetectable.
However, the alteration in eye shape may not be.
When skin is removed from the lower eyelid, it causes a downward force on the lower eyelid. The lower eyelid is a very weak structure, and can pull down. The result, over several months time, can be a typical blepharoplasty look, with a rounding of the eye, of a pulling down of the lower eyelid especially on the corners.
We do not therefore perform the skin pinch on the lower eyelid without doing an ultrashort incision cheeklift (USIC), which pulls up on the cheek, allowing conservative removal of skin from the lower eyelid without the high risk of eyelid shape alteration.

Skin Pinch Blepharoplasty refers to removing skin only and staying superficial in performing this procedure so that underlying structures like your muscle or fat pads are untouched. This superficial approach minimizes the chance for complication such as scar retraction (Ectropion). As long as not too much skin is removed, and the procedure is performed by an expert that is board certified, it is a safe procedure and most often the scar is undetectable.

The skin pinch is a common approach used by plastic surgeons to eliminate redundant eyelid skin. It can be done at the same time as transconjunctival blepharoplasty or later as a "touch up" procedure. The results obtained in reference to the visibility of the incision line are usually good and rarely do patients complain about the scar or feel it is overly conspicuous.

A skin pinch, in the hands of a well trained, qualified, and experienced surgeon should have minimal to no risk. With a proper incision placement, the scar should fade away nicely, and since only excess skin is removed with no violation of the muscle, drooping of the eyelid should not be a problem. These complications can happen if the surgeon is not extremely familiar with this procedure, so be careful.

Many blepharoplasty surgeons combine skin pinch and trans-conjunctival fat removal in one procedure. If the lid support is assessed accurately and the skin removal done with conservatism, this procedure can be effective. Scaring should be minimal and not an issue.
Keep in mind, that a couple of skin wrinkles under the eye are OK, a droopy eyelid with ectropion is not. Therefore, your surgeon will not want to compromize lower lid support.