J Cosmet Med 2019; 3(2): 130-133  https://doi.org/10.25056/JCM.2019.3.2.130
Lower blepharoplasty: how we do it
Chuan-Hsiang Kao, MD1,2, Sarina Rajbhandari, MD3
1Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Rep. of China
2Hope Aesthetic Clinic, Taipei, Taiwan, Rep. of China
3Shankarapur Academy and Hospital, Kathmandu, Nepal
Chuan-Hsiang Kao
E-mail: chuanhsiang@yahoo.com.tw
Received: December 9, 2019; Revised: December 28, 2019; Accepted: December 30, 2019; Published online: December 31, 2019.
© Korean Society of Korean Cosmetic Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The natural process of ageing causes multiple age-related changes, which are observed in the anatomy of the eyelids and surrounding structures, including the malar region. Blepharoplasty is a procedure performed widely for tired looking eyes and facial rejuvenation. Lower blepharoplasty (LBP) is usually done with fat transposition rather than fat resection to avoid hollow appearance of malar area. Patients with excess fat and no tear trough deformity can be treated with fat resection alone, where as those with a prominent tear trough deformity requires fat transposition. Transposing the medial and central fat pads instead of excising them can help to fill out the hollowness of the under eye area whereas the lateral fat pads are removed as much as needed through direct excision. In our practice, we generally prefer a transconjunctival approach to lower lid blepharoplasty with fat repositioning.
Keywords: aging; lower blepharoplasty; transconjunctival
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