What is a "Pinch Blepharoplasty"

Please explain how surgeons do a "pinch blepharoplasty". Is it commonly done? Does this technique minimize the risks of surgery?

Doctor Answers 16

Pinch Blepharoplasty

This technique in blepharoplasty is classically a maneuver done with minimal skin removal that is calculated by pinching the skin together with a tiny forceps. It's done to calculate a minimal amount in order to not overdo the operation. This technique is indicated when there is minimal skin excess, minimal wrinkling and no structural deformity of the lower lids. Your board certified plastic surgeon can evaluate your anatomy and see if you are a good candidate for this procedure.

Best Wishes,


Dallas Plastic Surgeon
5.0 out of 5 stars 119 reviews

Pinch Blepharoplasty (Eye tuck or lift) lower eyelid

A pinch blepharoplasty generally refers to a procedure performed on the lower eyelid.

Any eyelid procedure can address skin, muscle or fat. This can be complex and require greater intervention. However, a pinch only removes the skin.

It is commonly performed in combination with a cheek lift or midface lift which can push loose skin into the eyelid area. Rather than do a "complete" eyelid procedure, the excess skin is pushed and gathered into a ridge. This ridge is pinched thereby crushing the blood supply and making essentially bloodless removal of the pinched skin.

It is also occasionally performed with a transconjuntival blepharoplasty in which the fat is removed from inside the eyelid.

The advantage of the procedure is relatively little surgery with quicker recovery. The disadvantage is the limits of the procedure and inability to address the fat and muscle if they are contributing to the undesireable appearance of eye.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Pinch blepharoplasty- pluses and minuses

We typically do not perform pinch blepharoplasties as a standalone procedure. The reason for this is simple. It too often changes the eye shape to a pulled down or rounded appearance. The change in the eye does not appear right away; it usually takes months. Patients notice their eyes look sad or that too much white shows.

When we perform an ultrashort incision cheeklift, then the cheeklift essentially "gives" tissue to the lower eyelid, and this can then more safely be removed with a "pinch".

Not every cheeklift "gives" tissue to the lower eyelid. Cheeklifts performed through the mouth and temple do not, in my opinion, rejuvenate the lower eyelid although they can elevate the cheeks nicely in the right patient, especially if an endotine type device is used. Cheeklifts that are aggressive, violate the orbital septum are more likely to pull down or alter the eye shape.

When you are looking at before-after pictures, look carefully at eye shape. Is the eye shape the same or better than before the surgery or is it altered? Without asking a single question, you can tell volumes from before-after pictures if you look carefully.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

The pinch blepharoplasty

As Drs. Placik and Aldea have mentioned, a "pinch" blepharoplasty addresses excess lower eyelid skin only. While it is deceptively simple, if a patient has loose lower eyelids as determined by preoperatively pulling down and pulling out on them, there is still a distinct possibility of the lower lid dragging down during recovery (called an ectropion) which can be very difficult to fix at times.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Pinch Blepharoplasty

The pinch blepharoplasty is a procedure that's been designed to address minimal amounts of excess lower eyelid skin. This procedure effectively treats minimal wrinkles and skin excess when fat pads aren't an issue.

The procedure utilizes tissue forceps to pinch the skin and estimate how much skin can be removed. This approach, hopefully, avoids over resection of skin and subsequent ectropian development.

The procedure is associated with excellent clinical results, but has limited clinical application. The vast majority of patients who require blepharoplasty need more aggressive procedures.

If you're considering blepharoplasty, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Pinch Blepharoplasty

Thank you for your question. This is an excellent procedure when only a minimal amount of skin needs to be removed from the lower eyelids. This is not for people with puffy or baggy eyelids. It is a rather easy procedure to perform and recovery time is quite quick. An oculoplastic surgeon evaluates the eyelids and determines if the pinch technique is appropriate.

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 140 reviews

Pinch Blepharoplasty

Hi there.  I think you may be referring to a lower lid skin pinch.

I typically offer a lower lid trans-conjunctival blepharoplasty.  Instead of approaching the fat pads from the outside (trans-cutaneous blepharoplasty) the dissection is actually performed from behind, within the eyelid.  

The trans-conjunctival blepharoplasty is usually combined with an external skin pinch, to remove the redundant skin, once the fat pads are removed and deflated.

Hope this answers your question.  Good luck.

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Pinch blepharoplasty

A pinch blepharoplasty relates to the excess skin on the lower lids once the fat has been removed. The puffiness on the lower lids is caused by excess fat, which is removed, usually from an inside incision called the transconjunctival approach. Once the fat has been removed there is usually excess skin, and this is pinched on the lower lid just immediately below the lash line and then either sutured or glued together.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Pinch Blepharoplasty


When performing a pinch blepharoplasty, the surgeon will pinch a small amount of skin and remove it. The surgeon will then stitch it together carefully. It is important to be conservative, otherwise the procedure may cause lower eyelid retraction. And every surgery has its risks. Hope this helps answer your question. Thank you and best of luck.

Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Pinch Blepharoplasty

A pinch blepharoplasty is a procedure that removes lower eyelid skin using a pinch technqiue in terms if determining the excess. You still have to be careful of not removing too much and considering a canthopexy as well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.