Skin Pinch in Cheek Lift?

The lower eyelid is a very weak structure. Maintaining an almond shape is important for mainatining a normal eye appearance.
When skin is removed from the lower eyelid, a downward pull is exerted on the lower eyelid. The greater the amount of skin removed, the looser the lower eyelid, or the more prominent the eyeball is in the eye socket, the more downward pull there is when skin is removed, and the greater the resulting deformity. This deformity usually manifests as a pulling down of the lower eyelid, a rounding of the eye, or a "sad", downgoing appearance of the eye.
One method of retaining eye shape is by supporting the corner of the eye, not just with a canthopexy (tightening of the lower yelid), but of elevating the cheek tissue, essentially "giving" it to the lower eyelid. The tension then does not rely on removing from the lower eyelid, but rather from an elevation of the cheek. Then, a small amount of skin can more safely be removed, tightening the skin with minimal risk of affecting eye shape.
A great risk of lower eyelid surgery is in scarring that can occur within the orbital septum, pulling down severely on the lower eyelid, or of removing too much skin from the lower eyelid, causing an ectropion. This can be avoided not with an incision that goes completely across the lower eyelid (therefore affecting the orbital septum), but with an ultrashort incision just on the side of the eye, the ultrashort incision cheeklift, or USIC cheeklift.

The gold standard in medical practice is to properly diagnose the clinical problem, perform the correct procedure in a safe and effective way.The combination of lower lid /cheek lift procedure is a very effective procedure for midface rejuvenation. It is a highly techincal procedure and is not for every patient to have nor for every surgeon to perform.Skin pinch is a very limited procedure that only address a small amount of skin excess. In my mind with time the skin will stretch out again. The key is to address all the components of facial aging.The skin, fat, and muscles need to be addressed to be able to have a stable result. The lid need to be properly supported to avoid any future complications.Lower lid surgery is a one way street, if perfomed properly you will have a good result. Stay away from fancy new names for old procedures. The key is proper diagnosis and technique.Hope that helps!

A skin pinch can make an improvement in excess lower lid skin when it is present in the lower lid's natural state. You have to be very careful when doing it in combination with a cheeklift, though, because the natural state is shifted when a cheeklift is done.
Obviously, when the cheek is pulled up, it will look like there is extra skin present. However, if all the excess is removed with a skin pinch, then when the cheek tissue relaxes, and it always does, it could pull the lower eyelid down with it, resulting in a deformity.
Make sure you speak with surgeons who are well experienced in performing this type of surgery.
Dr. Miller