Inferior blepharoplasty: external approach

Inferior blepharoplasty:External Approach

Francesco P Bernardini, Genova. Italy

American Academy of Ophthalmology

Surgical Indications

Classical indications:

Skin excess

Excessive fat prolapse

My Preference

Eyelid-cheeck junction restoration

All cases of malar descent associated with tear trough deformity

Eyelid skin loose (even without true excess)..... ‘saggy’

.......in all cases where a t-conj wouldn’t get a good

result

5

Surgical technique

9

11

12

13

14

15

16

17

18

22

23

24

Results

Mini-pinch Technique

Combination of t-conj fat excision/repositioning + skin excision

a very good alternative to improve the skin, shortening the eyelid

safe

Risks

Data

Beware of lid laxity.....

38

....when approaching the eyelid externally, even without skin excision!

39

Always combine with eyelid suspension (LTS) when lids are lax or negative vectors

Thank you

Video available atwww.oculoplasticabernardini.it