Which Blepharoplasty Technique is Best? (photo)

I most commonly performed lower blepharoplasty by making an incision along the lash margin in dealing with the fat and skin in various ways. Occasionally the trans-conjunctival approach is suitable. There is no one correct way to do the operation. Go with the surgeon you trust the most.

Either option can achieve the result you are looking for. Trans-conjunctival approach to lower eyelids is a safe way to perform lower blepharoplasty. Skin pinch, peel, or laser resurfacing are all well-established modalities that can help with lower lid skin tightening. As evident from other answers, there are additional nuances in deciding whether fat repositioning or grafting would be of benefit. Other views and exam would be beneficial in this regard. Good luck,

 

Grigoriy Mashkevich, MD

New York Facial Plastic Surgeon

Either option can work well for the right patient. For you, peel may be better because it would also diminish the pigmentation spots you have on your lower eyelids and face.  See an oculoplastic surgeon.

I prefer a transconjuctival approach with conservative fat excision and a skin pinch blepharoplasty.

For your case, fat repositioning would be most ideal so deal with the bagginess of the lower eyelids. For the skin treatment, its hard to say with a photo alone. Skin texture, lower eyelid tone need to be assessed in person to determine whether skin peel vs laser vs pinch excision would be best.