Lower Blepharoplasty: The Functional Muscle Sparing Technique by Dr.
Oscar M. Ramirez MD FACS
Blepharoplasty is a time-honored operation
that entails removal of skin, muscle and "fat pads" from the lower eyelids. From my point of view this operation is obsolete and should rarely be used in patients.
Removal of "fat pads" or "bags" will lead to
"surgical enophthalmus" and cadaveric or beady eyes. In many cases it will also accentuate
the "tear trough deformity". Removal of muscle particularly in the lower eyelids will lead
to eyelid malposition and ectropion with all the devastating side effects including corneal damage
Standard lower blepharoplasty
incisions can lead to drooping of the lower lids.
Because of these problems, for many years I have been using
different "muscle sparing procedures" that can be adapted to different patient’s problems
and aesthetic goals.