Lower Transcutaneous Blepharoplasty

摘要

Preoperative planning is crucial to a successful lower eyelid procedure. The surgeon must decide between transconjuctival approach, transcutaneous approach, or a combination of both to address lower lid dermatochalasis and steatoblepharon. Lower lid horizontal laxity must be identified before surgery so that it may be properly addressed. This can be accomplished with the eyelid distraction test and the eyelid snap test. A deep nasojugal fold or tear trough deformity must be addressed for optimum esthetic outcome. This can be accomplished with the use of fillers, autologous fat grafting, resuspension of orbital fat, or facial implants.