Lower eyelid and midface rejuvenation.

Area of Science:

• Plastic Surgery
• Ophthalmology

Background:

• Lower eyelid blepharoplasty is a frequent aesthetic plastic surgery procedure.
• Patients often report "bags" but have complex anatomical issues.
• Aging causes lower lid convexity changes and midface descent, lengthening the eyelid.

Purpose of the Study:

• To provide a comprehensive guide for lower eyelid blepharoplasty.
• To detail clinical evaluation, surgical planning, and techniques.
• To present an approach for vertical lower eyelid support.

Main Methods:

• Clinical evaluation of lower lid deformities.
• Preoperative assessment and surgical marking strategies.
• Step-by-step surgical approach via transconjunctival or transcutaneous incision.

Main Results:

• Detailed discussion of anatomical imperfections beyond "bags."
• Review of anesthetic techniques for different surgical settings.
• Presentation of a method for vertical lower eyelid support.

Conclusions:

• Comprehensive evaluation is key for successful lower eyelid blepharoplasty.
• Both transconjunctival and transcutaneous approaches are detailed.
• Vertical support is an important consideration in lower lid surgery.