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DOI: 10.1055/s-2006-939506
Rejuvenation of the Lower Eyelid Complex
Publication History
Publication Date:
31 March 2006 (online)
ABSTRACT
Blepharoplasty is one of the most common cosmetic surgeries performed on the male patient. Whereas in the past the male patient would present later in life for eyelid surgery to address functional issues, he now presents earlier in life with an interest in aesthetic improvement as the primary motivating factor. This article reviews the approach of the senior author (SWP) to rejuvenation of the lower eyelid complex. Specifically, we discuss the indications for and techniques of the transcutaneous and transconjunctival approaches for blepharoplasty. As well, adjunctive procedures for rejuvenation of the lower eyelid complex, including fat transposition, lateral canthoplasty, and skin resurfacing, are reviewed.
KEYWORDS
Blepharoplasty - fat transposition - canthoplasty - skin resurfacing
REFERENCES
- 1 Verity D H, Collin J R. Eyelid reconstruction: state of the art. Curr Opin Otolaryngol Head Neck Surg. 2004; 12 344-348
- 2 Friedman O. Changes associated with the aging face. Facial Plast Surg Clin North Am. 2005; 13 371-380
-
3 Rankin B S, Arden R C, Crumley A L.
Lower eyelid blepharoplasty . In: Papel ID Facial Plastic and Reconstructive Surgery 2nd ed. New York; Thieme Medical Publishers 2002: 196-207 - 4 Bernardi C, Dura S, Amata P L. Treatment of orbicularis oculi muscle hypertrophy in lower lid blepharoplasty. Aesthetic Plast Surg. 1998; 22 349-351
- 5 Mendelson B C, Muzaffar A R, Adams W P. Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg. 2002; 110 885-896
- 6 Kawamoto H K, Bradley J P. The tear “TROUF” procedure: transconjunctival repositioning of orbital unipedicled fat. Plast Reconstr Surg. 2003; 112 1903-1907
-
7 Moses J L.
Blepharoplasty: cosmetic and functional . In: McCord CD, Tantenbaum M, Nunery W Oculoplastic Surgery 3rd ed. New York; Raven Press 1995: 285-318 -
8 Perkins S W, Latorre R C.
Blepharoplasty . In: Romo T, Millman AL Aesthetic Facial Plastic Surgery. New York; Thieme Medical Publishers 2000: 262-287 - 9 Perkins S W. Transconjunctival lower lid blepharoplasty. Facial Plast Surg Clin North Am. 1995; 3 175-187
- 10 Fedok F G, Perkins S W. Transconjunctival blepharoplasty. Facial Plast Surg. 1996; 12 185-195
- 11 Perkins S W, Dyer 2nd W K, Simo F. Transconjunctival approach to lower eyelid blepharoplasty: experience, indications, and techniques in 300 patients. Arch Otolaryngol Head Neck Surg. 1994; 120 172-177
- 12 Kane M A. Treatment of tear trough deformity and lower lid bowing with injectable hyaluronic acid. Aesthetic Plast Surg. 2005; 29 363-367
- 13 Flowers R S. Tear trough implants for correction of tear trough deformity. Clin Plast Surg. 1993; 20 403-415
- 14 Goldberg R A. Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg. 2000; 105 743-748
Stephen W PerkinsM.D.
Perkins/Van Natta Center for Cosmetic Surgery, Meridian Plastic Surgery Center
170 W. 106th Street, Indianapolis, IN 46290