Lower lid rejuvenation includes more challenges and surgical options. Options include removal of fat alone from an approach inside the eyelid ( transconjunctival), removal of skin and fat from an incision just beneath the eyelashes ( subciliary), possible fat repositioning or transplantation. Additional tightening of the outer corner of the eye ( canthoplasty) and/or an upper cheek lift may be pursued to improve the appearance of the lower lid area.
Transconjunctival lower lid Blepharoplasty
Fat removal and repositioning alone in the lower lids results in decreased fullness of the lower lids, and tightening ( non-wrinkling) of the skin after surgery.
Lower lid Blepharoplasty (Transconjunctival) and Upper Blepharoplasty
Note the decreased fullness of the lower lids following surgery. No lower lid skin was removed.
This patient underwent a subciliary blepharoplasty, cheek lift, and lateral canthoplasty