Lower Eyelid Blepharoplasty

Authors: Stephen W. Perkins, M.D. and Jess Prischmann, M.D.

Johnson, Chapter 187

Lower eyelid blepharoplasty is one of the most common and technically challenging procedures in facial plastic surgery. Unlike upper eyelid blepharoplasty, surgery on the lower eyelid has a lower threshold for error and a higher potential for complications. Most blepharoplasty surgeons will encounter unexpected postoperative outcomes. Because of this, an intimate understanding of anatomy, methodical evaluation of patients, obsessional intraoperative treatment of tissue planes, and prompt recognition of complications are required for success in this detail-driven and rewarding procedure.