The Combined Procedure
Surgeons often perform lower lid blepharoplasty, also known as lower eyelid surgery or eyelid rejuvenation, in conjunction with a midface lift to achieve comprehensive facial rejuvenation. This advanced procedure delivers remarkable results for individuals seeking to enhance their lower eyelids and midface appearance.
The combined procedure, involving lower lid blepharoplasty and a midface lift, can be customized based on the patient’s comfort and the extent of required dissection. Depending on these factors, surgeons may opt for local or regional block with or without sedation, or they may choose to use general anesthesia or a variation of it.
Incisions and Anesthesia
Surgeons make precise marks while the patient is in an upright position. The commonly used transcutaneous approach involves making incisions just below the lower lash line. Subsequently, the surgical team administers appropriate anesthesia to ensure the patient’s comfort. Local anesthesia is infiltrated into the superficial eyelid tissues to control pain.
Surgical Technique for Lower Lid Blepharoplasty With Midface Lift
The dissection process commences and progresses down to the septum. In some cases, the dissection may extend as far as the crease on the side of the nasal alae (flaring portion of the nose). Surgeons can perform this dissection either in the subperiosteal plane for patients requiring substantial correction or in the superficial plane for those needing less correction of the nasal fold or smile lines.
Addressing the Midface in Lower Lid Blepharoplasty
During the combined procedure of lower lid blepharoplasty with a midface lift, surgeons open the septum and either remove or reposition the fat in question symmetrically. They horizontally tighten the lower lid to achieve a smoother and more youthful appearance. Simultaneously, they meticulously elevate the cheek fat pads, enhancing the cheekbones and improving smile lines (nasolabial folds).
The cheek is securely suspended to the fascial or bony tissues outside of the eye. Surgeons perform a conservative excision of excess skin, and they meticulously close the incisions.
In conclusion, the advanced and effective approach of combining lower lid blepharoplasty with a midface lift offers comprehensive facial rejuvenation. Surgeons customize this procedure to meet the patient’s needs and ensure their comfort. It delivers impressive results in enhancing the appearance of the lower eyelids and midface.
Check out our gallery of before and after images for blepharoplasty here.