Extended Lower Blepharoplasty: How Much Skin Can We Resect?

Area of Science:

• Plastic Surgery
• Oculoplastic Surgery
• Aesthetic Medicine

Background:

• Lower eyelid blepharoplasty is a common procedure for periorbital aging.
• Extended lower blepharoplasty incorporates midface rejuvenation for a comprehensive approach.
• This study focuses on cases with significant skin redundancy and sagging (skin elastosis).

Purpose of the Study:

• To evaluate the safety and efficacy of extended lower blepharoplasty.
• To assess the technique's ability to remove large amounts of excess skin.
• To determine the maintenance of eyelid stability and complication rates.

Main Methods:

• Retrospective analysis of patients undergoing extended lower blepharoplasty (2013-2023).
• Transcutaneous approach with subcutaneous and sub-orbicularis dissection.
• Meticulous tissue repositioning and canthoplasty for structural support.

Main Results:

• Average skin excision of 10 mm (range 6-16 mm).
• Low complication rates observed.
• Satisfactory aesthetic and functional outcomes reported in most patients.

Conclusions:

• Extended lower blepharoplasty is safe and effective for significant lower eyelid skin laxity.
• The technique successfully addresses midface aging concerns.
• It offers a valuable alternative to traditional blepharoplasty by allowing substantial skin excision while preserving eyelid stability.