Oculo-facial Surgery
Cosmetic Surgery
Lacrimal and Orbital Surgery

  • Upper Blepharoplasty
  • Asian Blepharoplasty
  • Lower Blepharoplasty
  • Brow Lift Surgery
  • Botox, Fillers and Peels
  • Eyelid Ptosis
  • Entropion Surgery
  • Ectropion Surgery
  • Lower Eyelid Retraction
  • Tearing Problems
  • Eye Socket Surgeries
  • Thyroid Eye Disease
  • Orbital Tumors
  • Eyelid Tumors

     

  • Lower Blepharoplasty

    Rejuvenating the lower eyelid may include fat excision or repositioning, skin excision or mid-face elevation. Occasionally we will recommend volume augmentation with fillers such as Restylane. The majority of patients we see will benefit from transconjunctival lower blepharoplasty. This technique involves excising or repositioning the fatty compartments of the lower eyelid through a hidden incision inside the lid. This approach provides a natural, non-surgical look after surgery which preserves the structure and function of the Orbicularis muscles in the lower eyelid.

    Some patients have excess skin in the lower eyelid as well and benefit from a "pinch" skin excision. This can be performed alone or in conjunction with transconjunctival lower blepharoplasty. This technique also preserves the Orbicularis Oculi muscle and insures preservation of the lower eyelid contour and position

    Some patients also benefit from lateral canthopexy to stabilize the lower eyelid position at the time of lower blepharoplasty. A canthopexy is a stitch which is placed near the outer corner of the lower eyelid inside the tissues. This stitch keeps the eyelid in position while healing. It dissolves in four to six weeks.

    In patients with significant lower eyelid laxity a canthoplasty or full thickness lower eyelid tightening is necessary. Some patients may require mid-face elevation to rejuvenate the lower eyelid-cheek complex. In this procedure the eyelids and cheeks are repositioned upward to smooth the contours and elevate the structures of the mid-face. This is most useful in patients with malar bags, or "bags on bags".

    For Lower Blepharoplasty in Santa Monica, Los Angeles and Pasadena contact Dr. Steven Dresner.