Medical Operative Experience

At this level perform a removal of excess skin in elliptical shape, so that the scar coincides with the upper edge of the upper eyelid tarsus. Thus, the scar coincides with the lid crease and does not show. Regarding the fatty bags should be removed if there are both internal and half, but held a half, we are very conservative in their removal as an excessive removal itself creates a skeletonized appearance of the eye.

Lower Blepharoplasty
We conducted via the transconjunctival lower blepharoplasty, ie through the mucosa of the lower lid without making the skin incision in it. Thus, we avoid scars on the lower eyelid skin. We place a protective lens on the eye to avoid any injury on the cornea and access the fat pads through the mucosa, always accessible from under the lower tarsal cartilage to avoid damaging. Once identified, the three fat pads, the removal is done for them. Sometimes you can use the excess fat in the inner bag to transpose the typical depressed area of the tear trough or “tear trough” if the patient is depressed.

We avoided in all cases the action on the resection of skin and lower eyelid orbicularis to avoid exposure of the sclera and the emergence of a “round eye.” When an excess lower eyelid skin resection is performed in the same through a small incision under the eyelashes for an external but never the orbicularis muscle sectioning, ie, removing the bags through the transconjunctival fat and excess through external skin, only when there is a lot of excess skin, but always remain very conservative.