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Facial Plast Surg 2018; 34(04): 412-418
DOI: 10.1055/s-0038-1666787
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Direct Excision of the Lower Eyelid: A Safe and Effective Method for Treating Dermatochalasis and Pigmentation

Robert Glasgold
1   Department of Otolaryngology – Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey
2   Glasgold Group – Facial Plastic Surgery, Princeton, New Jersey
,
Joelle Rogal
3   Cosmetic Surgery Associates of New York - Facial Plastic Surgery, Harrison, New York
,
Lesley A. Rabach
4   LM Medical NYC – Facial Plastic Surgery, New York, New York
,
Mark Glasgold
1   Department of Otolaryngology – Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey
2   Glasgold Group – Facial Plastic Surgery, Princeton, New Jersey
› Author Affiliations
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Publication History

Publication Date:
28 June 2018 (online)

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Abstract

The subciliary and skin pinch approaches are the most widely accepted techniques for treating dermatochalasis of the lower eyelid. Direct excision (DE) is an accepted method for treating festoons; however, it is not a popular technique for the treatment of dermatochalasis and pigment of the lower lid. DE of the lower lid offers a safe and excellent aesthetic result for dermatochalasis and pigment of the lower lid, without causing lower lid malposition, which can occur with more traditional methods. In addition to being able to remove significantly more skin without risking lower lid malposition, this procedure allows for removal of the most pigmented and poorly textured skin overlying the nasojugal groove. It is an effective alternative to the conventional subciliary and skin pinch approaches.

Keywords

dermatochalasis - lower eyelid - blepharoplasty - direct excision