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Updated: Jun 8, 2025

Impression Cytology of the Lid Wiper Area
Published on: August 9, 2016
Blending the Lower Lid Cheek Junction
1University of British Columbia, Division of Plastic Surgery, 777 West Broadway, Suite 1000, Vancouver, British Columbia, V5Z4J7 Canada.
Abstract:
The lower lid cheek junction is a complex region. Patients are concerned about contour deformities of the lower eyelid and the cheek, but the causes of these issues are found in the underlying anatomy. Age-related bony changes result in a recessed infraorbital rim and a recessed maxilla. Loss of cheek soft tissue contributes to the formation of a tear trough deformity. Configuration of the tear trough comes in 3 classes, each of which requires a different surgical treatment. Combined procedures on the lower lid and the cheek often result in the most significant improvement.
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