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Lower Blepharoplasty

Traditional Technique

The traditional technique of lower eyelid surgery was done by removing the fat and some of the excess skin, which was then stretched. Several problems occurred with this traditional technique. By simply removing the fat, the patients were left with hollowed eye appearances, causing the patients to look unhealthy and malnourished. These patients were also dissatisfied with their appearance after their surgeries, and surgery using the traditional method rarely enhanced the patients' looks. Additionally, older patients with architecturally weaker lower eyelids experienced eyelid turn down or sagging, (technically called ectropion or scleral show) by use of this older technique. The main problem of this technique was the lack of understanding of the profound composition of the lower eyelid structure and mechanism. Surgeons seldom understood how much fat they could remove from the patients, or the where to reposition the fat tissue in order to bring back the patients' younger appearance.