Skin Approach Lower Blepharoplasty

The skin approach lower blepharoplasty is also know as transcutaneous lower blepharoplasty and anterior approach lower blepharoplasty. The main target of this surgery is to remove excess skin, orbicularis muscle, and fat from lower eyelids. Transcutaneous lower blepharoplasty may be performed with adjunctive procedures like lateral canthal reinforcement. This surgery can be performed under local anesthesia with oral sedation or intravenous sedation.
In skin approach lower blepharoplasty, the skin is incised along its complete length just below the eyelid margin. The skin is slightly incised beyond the lateral canthus. After that in a similar manner, exposed orbicularis muscle is incised along its full length. Skin muscle is then taken off from underlying orbital spectrum using cotton tip and sharp dissection with scissors. The dissection of skin muscle flap extends to the down side over the full lower eyelid to approximately orbital bony rim. Incision is made to the orbital spectrum to bring out fat pockets from lower eyelids. Excess fat is teased apart and clamped in transcutaneous lower blepharoplasty. Fat is lifted off with scissors. The surgeon asks patient to look upward towards forehead and drapes the skin muscle flap over initial incision to confirm the excess tissue. The blepharoplasty surgeon trimmed any excess tissue. After that surgeon closes the skin edges using sutures.