My lower lids are baggy and I'm concerned that if I get a lower transcutaneous blepharoplasty, the loose skin will hang. What is the safest amount of skin that can be removed (in centimeters) without running the risk of scleral show? I want to maintain the contour of my already small eyes. Might a skin pinch in addition to a 3 or so cm excision help to minimize the skin laxity? Thank you!
Answer: How much skin to remove from lower eyelid ? The answer depends on each person. Usually, the answer is NOT MUCH. Safest procedure would skin pinch method to remove safe amount of skin.
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Answer: How much skin to remove from lower eyelid ? The answer depends on each person. Usually, the answer is NOT MUCH. Safest procedure would skin pinch method to remove safe amount of skin.
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May 10, 2015
Answer: Transcutaneous blepharoplasty The amount of skin to be removed is determined at surgery, whether you do a transcutaneous or transconjunctival blepharoplasty. A pinch of skin is what is done after a transconj approach. In a transconjunctival surgery the pinch is part of the skin excision. When doing either surgery a lid tightening should be done if there is any lid laxity. To determine the amount of skin to remove, we have the patient open their mouth to put the skin on stretch. Taking out too much skin can result in an ectropion. See an oculoplastic surgeon for an evaluation.
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May 10, 2015
Answer: Transcutaneous blepharoplasty The amount of skin to be removed is determined at surgery, whether you do a transcutaneous or transconjunctival blepharoplasty. A pinch of skin is what is done after a transconj approach. In a transconjunctival surgery the pinch is part of the skin excision. When doing either surgery a lid tightening should be done if there is any lid laxity. To determine the amount of skin to remove, we have the patient open their mouth to put the skin on stretch. Taking out too much skin can result in an ectropion. See an oculoplastic surgeon for an evaluation.
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May 10, 2015
Answer: Amount of skin removal Thank you for your question.The beauty of the "pinch" technique is that the amount of skin removed differs each patient. The pinch determines the safe amount without pulling down the lower lid causing ectropion (a lower lid that is pulled down and looks abnormal). Typically it is <1cm of skin removal.I hope this helps.- Dr. Bryson Richards
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May 10, 2015
Answer: Amount of skin removal Thank you for your question.The beauty of the "pinch" technique is that the amount of skin removed differs each patient. The pinch determines the safe amount without pulling down the lower lid causing ectropion (a lower lid that is pulled down and looks abnormal). Typically it is <1cm of skin removal.I hope this helps.- Dr. Bryson Richards
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May 9, 2015
Answer: How much skin can be removed with lower blepharoplasty? The amount of skin that can be removed is entirely dependent on the lower eyelid anatomy of each patient.One of my primary goals in cosmetic lower eyelid surgery is to never distort the contour of the lower eyelid margin just above the eyelashes. When removing excess skin after treating the baggy areas (excess fat) one must be very cautious. The limiting factor is any tension that could pull the lower eyelid down. This must be avoided to minimize the chance of scleral show and any distortion of the contour of the lower lid margin.When you mention transcutaneous blepharoplasty that typically refers to a skin/muscle flap technique with an incision placed on the skin a few millimeters below the lashes. The entire operation is done through this one incision.My preferred technique is to remove the fat from inside the eyelid using a transconjunctival approach. Skin excision, if needed, is performed externally with an incision on the outer surface of the lower eyelid using a method often referred to as a "skin pinch."Both the transconj plus skin pinch technique and the classic transcutaneous skin/muscle bleph technique are adequate ways to deal with both the fat and any skin excess. The skin/muscle technique theoretically has a slightly higher risk of pulling the eyelid down, but in the hands of a competent surgeon that concern really should be minimal. Each surgeon will have his or her preferred technique, but the most important issue related to the skin excision is having good judgement and careful technique to avoid too much skin removal and a pulled tight look.
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May 9, 2015
Answer: How much skin can be removed with lower blepharoplasty? The amount of skin that can be removed is entirely dependent on the lower eyelid anatomy of each patient.One of my primary goals in cosmetic lower eyelid surgery is to never distort the contour of the lower eyelid margin just above the eyelashes. When removing excess skin after treating the baggy areas (excess fat) one must be very cautious. The limiting factor is any tension that could pull the lower eyelid down. This must be avoided to minimize the chance of scleral show and any distortion of the contour of the lower lid margin.When you mention transcutaneous blepharoplasty that typically refers to a skin/muscle flap technique with an incision placed on the skin a few millimeters below the lashes. The entire operation is done through this one incision.My preferred technique is to remove the fat from inside the eyelid using a transconjunctival approach. Skin excision, if needed, is performed externally with an incision on the outer surface of the lower eyelid using a method often referred to as a "skin pinch."Both the transconj plus skin pinch technique and the classic transcutaneous skin/muscle bleph technique are adequate ways to deal with both the fat and any skin excess. The skin/muscle technique theoretically has a slightly higher risk of pulling the eyelid down, but in the hands of a competent surgeon that concern really should be minimal. Each surgeon will have his or her preferred technique, but the most important issue related to the skin excision is having good judgement and careful technique to avoid too much skin removal and a pulled tight look.
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May 11, 2015
Answer: 3 cm is over an inches of skin. No one has that much lower eye lid skin. There is no fixed formula for what needs to be removed. The key is that it needs to be precisely tailored for your lower eyelid and it is likely to be just a few millimeters of skin.
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May 11, 2015
Answer: 3 cm is over an inches of skin. No one has that much lower eye lid skin. There is no fixed formula for what needs to be removed. The key is that it needs to be precisely tailored for your lower eyelid and it is likely to be just a few millimeters of skin.
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