Would a skin pinch be performed if wrinkles appear under eye after transconjectival lower bleph when smiling only?

A skin pinch is done when there is extra skin.  This excess may not be noticed when at rest, but only when smiling.  But if there is excess it can be removed, or laser done to tighten the skin.  When fat is removed, the lines may become more obvious since there is now less volume in the lower lid.   May need to consider fillers.   

It is very tricky to take too much skin from the lower eyelid trying to remove all the wrinkles.  It can lead to ectropion and is not the best option.  The best option at this time would be Thermismooth treatments to the eyelid area in the baggy appearance and the wrinkles.RegardsDr. J

Thank you for your question.  The risk of removing skin when there is not excess is causing what is called an ectropion, or pulling down of the eyelid.  This can cause eye irritation and a poor cosmetic result.  Without an evaluation in person, it would be difficult to assess if there was excess skin.  Best to speak with a board certified plastic surgeon about your concerns.  All the best,