Variations and Advantages of Skin Approach Lower Blepharoplasty

There are many variations in skin approach lower blepharoplasty (Transcutaneous lower blepharoplasty), most of which related to the placements of skin incisions and the penetration level between one tissue layer to the other. If the orbicularis muscle rolled over just below the eyelashes during smile or become hypertrophic, then some extra muscle may be removed from lower eyelid. The patients have excessive skin on lower eyelid, only small flap of skin may be dissected instead of skin muscle. The orbicularis muscle close to orbital bone and allow more skin to be removed rather then muscle.
Advantage: Transcutaneous lower blepharoplasty includes removal of excess skin and orbicularis muscle in addition with fat removal and repositioning. This type of process is not possible in normal transconjunctival blepharoplasty. Excess skin or orbicularis muscle in lower eyelid is not indicated and includes significant risk of eyelid contour distortion.