inferior blepharoplasty: external approach
Post on 22-Jun-2015
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Inferior blepharoplasty:External Approach
Francesco P Bernardini, Genova. Italy
American Academy of Ophthalmology
Surgical Indications
Classical indications:
Skin excess
Excessive fat prolapse
My Preference
Eyelid-cheeck junction restoration
All cases of malar descent associated with tear trough deformity
Eyelid skin loose (even without true excess)..... ‘saggy’
.......in all cases where a t-conj wouldn’t get a good
result
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Surgical technique
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Results
Mini-pinch Technique
Combination of t-conj fat excision/repositioning + skin excision
a very good alternative to improve the skin, shortening the eyelid
safe
Risks
Data
Beware of lid laxity.....
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....when approaching the eyelid externally, even without skin excision!
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Always combine with eyelid suspension (LTS) when lids are lax or negative vectors
Thank you
Video available atwww.oculoplasticabernardini.it
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