October 25, 2016

What's the Subcilliary Approach to Lower Eyelid Blepharoplasty?

Before and after of subcilliary approach to lower eyelid blepharoplasty.

If you are preparing to have a lower eyelid lift, you might be realizing that there are many different ways to achieve the desired results. One of these methodologies is called the subcilliary approach to lower eyelid blepharoplasty, which is applied by Dr. Buonassisi when the patient is a candidate.

What is the subcilliary approach to lower eyelid blepharoplasty?

The subcilliary approach to a lower eyelid blepharoplasty requires a small incision that goes just inside the bottomlash line. This approach allows for much greater access to the lower lid and its structures than the transconjunctival approach, allowing for a more modification.

How is it performed?

Before and after of subcilliary approach to lower eyelid blepharoplasty.

Before and after of subcilliary approach to lower eyelid blepharoplasty.

The small incision just underneath the lash line gives access to the underlying structures, allowing for removal of extra skin and fat that sits in the orbit as well as a softening of the tear trough.

Once this is performed, fat can be taken from the lower lid and implanted into the tear troughs to elevate them. Sometimes, synthetic fillers will be used to soften the tear troughs.

In addition to tightening the skin, this approach allows Dr. Buonassisi to tighten the lower lid itself as well as the orbicularis muscle, which forms much of the structure of the lower lid, helping to elevate the malarbags.

Who is a candidate for a subcilliary lower eyelid lift?

This is most useful in patients with more substantial age-related changes, who are usually over the age of 40 and require softening or elevation of the tear-trough area.

Interested in having a blepharoplasty procedure? Learn more about the subcilliary approach to lower eyelid blepharoplasty or read about other types of upper and lower blepharopasty.

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