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Wednesday, June 06, 2012

Tuesday, June 05, 2012

The importance of avoiding lower eyelid malpositioning.

I saw a patient today who was one  of many patients I have seen with lower eyelid malposition after a  blepharoplasty done elsewhere. This gentleman was bothered by the excessive  show of the white part of his eyes because of a lower lid  blepharoplasty that was done through an incision just below the eyelash  line on the outside of the eyelid, called a “subciliary” incision. I do not  usually perform this incision because of the potential for a pulling effect on  the lower lid which exposes too much of the white portion  of the eye below the colored portion of the eye, creating a sad or drawn  appearance to the lower eyelids which I do not think this is acceptable; this  is also called “lower eyelid malposition”. My preferred approach is through the inside of the lower eyelid, called  the “transconjunctival approach”, which many surgeons are not comfortable with,  but I feel that it is a superior approach for a lower eyelid lift  (blepharoplasty).

For examples of results from  eyelid lifts, please see our before and after  gallery.

It is important to try to avoid  lower eyelid malposition because it can be  very difficult to treat.  We have had  success with filling of the mid face and cheek with a VolumeLiftSM,  and this helps to lift the skin of the mid face and lower eyelid, while at the  same time rejuvenating the cheek and lower eyelid area. For examples of  patients who had a VolumeLift^SM, please click  here.