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!
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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