Modified lower eyelid blepharoplasty improves aesthetic outcomes in patients with hypoplastic malar prominences

Upper and lower blepharoplasty technique associated with canthopexy with double pre septal orbicularis muscle elevation with a single suture

“…(9,10) Vertical deficiency of the anterior lamella (skin) and fibrosis that occurs in medial and posterior lamella, associated with lateral canthal tendon laxity, are among the most common etiological factors in the poor positioning of lower eyelids. (11) Different techniques have been described aiming to minimize the undesirable effects of inferior blepharoplasty on eyelid positioning. Initially described by Jelks et al, (12) lower lateral retinal cantoplasty with upper blepharoplasty incision can be performed both in conjunction with transconjunctival and transcutaneous inferior blepharoplasty.…”