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Related Experiment Videos

The pinch blepharoplasty revisited.

Lorne K Rosenfield1

  • 1University of California School of Medicine, San Francisco, USA. lkrmd@pacbell.net

Plastic and Reconstructive Surgery
|April 6, 2005
PubMed
Summary

The pinch blepharoplasty effectively rejuvenates the lower eyelid, significantly reducing crepey skin and preventing scleral show or ectropion. This technique offers a superior alternative to traditional methods with fewer complications.

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Area of Science:

  • Plastic Surgery
  • Oculoplastic Surgery

Background:

  • Scleral show and ectropion are common concerns following lower blepharoplasty.
  • The traditional skin-muscle technique can lead to an "operated" look and patient dissatisfaction.
  • The "pinch" blepharoplasty was developed to address these postoperative issues.

Purpose of the Study:

  • To evaluate the efficacy of the pinch blepharoplasty technique.
  • To assess the incidence of postoperative lower eyelid malposition, including scleral show and ectropion.
  • To compare the pinch blepharoplasty with traditional methods regarding complication rates and aesthetic outcomes.

Main Methods:

  • A consecutive series of patients undergoing primary or secondary lower blepharoplasty were treated with the pinch blepharoplasty technique.
  • Exclusion criteria included patients undergoing carbon dioxide laser resurfacing without planned skin excision.
  • A total of 77 blepharoplasties were performed using this method.

Main Results:

  • No instances of lower eyelid malposition, scleral show, or ectropion were observed postoperatively.
  • The technique resulted in noticeably less bruising and swelling compared to traditional methods.
  • Significant improvement or complete effacement of crepe-like skin on the lower eyelid was frequently noted.

Conclusions:

  • The pinch blepharoplasty is a superior approach for lower eyelid rejuvenation.
  • This technique allows for effective removal of crepe-like skin with a reliably lower risk of scleral show.
  • The pinch blepharoplasty offers improved aesthetic outcomes and reduced complication rates.

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