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Frank M. Kamer, MD; Andrew J. Mikaelian, MD

Arch Otolaryngol Head Neck Surg. 1991;117(9):995-999.

Abstract
• Numerous techniques have been described for lower lid blepharoplasty. Over the past 15 years, a preexcision (pinch) technique with preservation of the pretarsal orbicularis oculi muscle has been used in more than 1000 cases presenting with dermatochalasis and pseudoherniated fat without lateral skin redundancy. The amount of lower lid skin to be excised is estimated by pinching the skin. Preservation of the pretarsal orbicularis oculi muscle adds support to the tarsoligamentous complex. This technique aids in preventing the development of both postoperative ectropion and rounding of the lower lid. Technical considerations of the preexcision (pinch) technique and a description of alternative techniques are outlined. Indications, complications, and patient satisfaction are discussed.

(Arch Otolaryngol Head Neck Surg. 1991;117:995-999)

Author Affiliations
From the Lasky Clinic, Beverly Hills, Calif.

Footnotes
Accepted for publication April 16, 1991.

Presented at the Western Regional Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, San Francisco, Calif, February 2, 1991.

Reprint requests to the Lasky Clinic, 201 S Lasky Dr, Beverly Hills, CA 90212 (Dr Kamer).

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