Oscar M. Ramirez, M.D., F.A.C.S.

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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 From my point of view this operation is obsolete and should rarely be used in patients.
figure 1
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 and blindness.
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.
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Elite Surgical Center
at Elite Center for Cosmetic Surgery
2665 Executive Park Drive, Unit 1
Weston, Florida 33331 USA
Corporacion de Cirujanos Plasticos
General Vidal 241
Miraflores, Lima Peru
Phone: (954) 446-6464  Ask for Katherine D. Delgado, MA-HCBA