I've had 4 consultations for lower Blepharoplasty. Three said they would just do the Transconjunctival procedure and one said he would add a skin pinch/small incision at the outer corner of my lower lid to tighten the skin. Are there risks to that procedure? Like would it make the lower eyelid sag or loose elasticity? I want to completely eliminate the bags and minimize wrinkles. Whats the best way to do this? Should I skip the skin pinch and work with lasers or just go for the full treatment?
January 30, 2016
Answer: Eyelids I would suggest that, prior to surgery, you have your tear troughs corrected with a filler injection. I think this would make a big difference for you. I like Restylane Silk for this area.Then, if you still feel there is puffy fat, go ahead and do the transconjunctival fat removal procedure. It looks like you have very minimal skin excess - so needing a pinch would be unlikely. In general, though, pinch blepharoplasty has a low risk of lid position issues, less than a standard transcutaneous blepharoplasty.
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January 30, 2016
Answer: Eyelids I would suggest that, prior to surgery, you have your tear troughs corrected with a filler injection. I think this would make a big difference for you. I like Restylane Silk for this area.Then, if you still feel there is puffy fat, go ahead and do the transconjunctival fat removal procedure. It looks like you have very minimal skin excess - so needing a pinch would be unlikely. In general, though, pinch blepharoplasty has a low risk of lid position issues, less than a standard transcutaneous blepharoplasty.
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February 1, 2016
Answer: Fat grafting to elevate the lid-cheek junction #plasticsurgery #fatgrafting I'm looking forward to seeing other answers to this particular question. My approach would not be a lower bleph - but fat grafting to the tear trough and central malar region to raise the lid-cheek junction and conceal the hollowing below your lower eyelid. HA fillers like Juvederm or Voluma will provide a temporary fix. Seek experienced plastic surgeons in your area for an in-person consultation.
Helpful 1 person found this helpful
February 1, 2016
Answer: Fat grafting to elevate the lid-cheek junction #plasticsurgery #fatgrafting I'm looking forward to seeing other answers to this particular question. My approach would not be a lower bleph - but fat grafting to the tear trough and central malar region to raise the lid-cheek junction and conceal the hollowing below your lower eyelid. HA fillers like Juvederm or Voluma will provide a temporary fix. Seek experienced plastic surgeons in your area for an in-person consultation.
Helpful 1 person found this helpful
January 28, 2016
Answer: What's the best option for lower eyelid rejuvenation in a young patient? Thank you for sharing your questions and photographs. The lower eyelid is perhaps the most difficult area of the face to treat, which is why you will get so many different treatment recommendations. If you ask ten physicians you'll likely get ten different answers. Blepharoplasty, whether transconjunctival (with a pinch) or traditional transcutaneous approach, would generally consist of removing fat and/or skin, which are permanent interventions and ignore the main problem which is volume deficiency over the bony rim of the eye. Keep in mind that most skin pinch techniques remove several millimeters of skin, which you likely don't need. Generally speaking, the best options for young patients are the most conservative ones, such as fat injections or hyaluronic acid filler injections. Thanks again for sharing your questions and photographs.Good luck,Dr. Harmych
Helpful 1 person found this helpful
January 28, 2016
Answer: What's the best option for lower eyelid rejuvenation in a young patient? Thank you for sharing your questions and photographs. The lower eyelid is perhaps the most difficult area of the face to treat, which is why you will get so many different treatment recommendations. If you ask ten physicians you'll likely get ten different answers. Blepharoplasty, whether transconjunctival (with a pinch) or traditional transcutaneous approach, would generally consist of removing fat and/or skin, which are permanent interventions and ignore the main problem which is volume deficiency over the bony rim of the eye. Keep in mind that most skin pinch techniques remove several millimeters of skin, which you likely don't need. Generally speaking, the best options for young patients are the most conservative ones, such as fat injections or hyaluronic acid filler injections. Thanks again for sharing your questions and photographs.Good luck,Dr. Harmych
Helpful 1 person found this helpful
