Pinch Blepharoplasty for Under Eye Treatment

In appropriately selected patients, this can be a perfect intervetion that gives fabulous results.
It can be done under local in the office and takes about 1 hour in total. Healing time is about 3-5 days, depending on bruising levels. I have given fillers at the same time and have some VERY happy patients as a result of this procedure. It can be repeated and will not interfere with a more traditional blepharoplasty if you ultimately need one down the line.
Patients are typically younger (40s or 50s) and must have tight lower eyelid tone. If the lower eyelid is weak, then changes to the lower eyelid shape can occur.
Find a reputable surgeon and you will get the best answer as to whether this is the right procedure for you.
Best of luck

We do not generally perform pinch blepharoplasties in our practice. The reason for this is that I believe that removal of skin from underneath the eyelid causes an alteration in shape of the lower eyelid. Often this takes months to occur fully, but it is present if you look closely.
Typically the look of a slightly downgoing side of the eye is the result of removal of skin without support.
Therefore we typically perform an ultrashort incision cheeklift (USIC) when removing skin from below the eyelid.

I highly recommend that you spend your time and energy focusing on identifying a surgeon you are comfortable with and less time and effort on what procedure you should have.  Every procedure has its risks and benefits.  Every procedure works differently in the hands of different surgeons.  If you arbitrarily decide you need a skin pinch, I assure you that someone will offer you that surgery whether it makes sense for you or not.

With a lower eyelid pinch, only skin close to the lower lid lashes is removed. In our practice, this procedure in isolation is very uncommonly performed.  Risks of lower eyelid position changes (ectropion, droopy lid) will limit the amount of skin that can be removed safely.
Alternatively, skin resurfacing can tighten the lower lid skin. Although not true surgery, it also carries its own risks and limitation.
You may benefit from an evaluation by an experienced cosmetic facial surgeon to see what is the most appropriate approach for your anatomy and condition.

 

A pinch blepharoplasty is exactly what it describes, a pinch of skin from the lower lids.  It does not address the most common issue with regards to lower blepharoplasty surgery, which is to remove fat bags.  The pinch itself is usually 2 to 3 mm of skin, taken at the lash line and closed with very fine sutures or tissue glue.  This can be repeated in the next 10 or 20 years if there is more skin present.