Lower Eyelid "Skin Pinch"

Lower lid blepharoplasty can address many issues including fat herniation and excess skin. Skin only excisions tend to be more limited in what they are able to improve. Both techniques can cause a condition called ectropion which can be caused by over resection or scar tissue.

This can be serious and patients with a history of dry eye or inability to fully protect their cornea may be at increased risk from this complication after surgery. There are several tests that can be performed to minimize the chances of this issue for patients at risk.

Speak to a board certified plastic surgeon.

Clinical Context

Blepharoplasty (eyelid surgery) removes excess skin, muscle, and sometimes fat from the upper and/or lower eyelids. Upper blepharoplasty addresses hooding that can impair peripheral vision. Lower blepharoplasty targets under-eye bags and puffiness. Recovery is relatively quick, with most patients returning to normal activities within 7–10 days.

Patient safety protocols, including operating in accredited facilities with board-certified anesthesiologists, significantly reduce surgical risk.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

Eyelid Surgery