Abstract
The transconjunctival approach to fat pad excision has gained popularity for use on those patients who require fat excision but not redundant skin excision. For skin excision cases, the pinch technique for raising the cuff of redundant skin of the lower lid has been found helpful, particularly in the older patient with latent senile ectropion. We find that elevating the skin or the skin/muscle flap produces edema of the already weak musculature predisposing it to postoperative senile lid hang. Avoiding lower-lid flaps in a lower-lid blepharoplasty has helped prevent this troublesome problem.
Similar content being viewed by others
References
Aston SJ: Skin/muscle flap for lower lid blepharoplasty. Clin Plast Surg 15(2):305–309, 1988
Guy CL, Converse JC, Morello DC: Aesthetic surgery of the aging face/transconjunctival blepharoplasty. Reconstr Plast Surg 3(37):1892, 1977
Lisman RD, Hyde K, Smith B: Complications of blepharoplasty. Clin Plast Surg 15(2):309–325, 1988
Spira M: Lower blepharoplasty-a clinical study. Plast Reconstr Surg 59:35, 1977
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dinner, M.I., Glassman, H. & Sheldon Artz, J. The “no flap” technique for lower-lid blepharoplasty. Aesth. Plast. Surg. 16, 155–158 (1992). https://doi.org/10.1007/BF00450607
Issue Date:
DOI: https://doi.org/10.1007/BF00450607