Blepharoplasty is a procedure that is performed quite frequently to improve the appearance of the eyes. However, it is a procedure that requires great experience because it encompasses and hides certain pitfalls. In order to maintain a youthful appearance of the eye, it is crucial to be cautious when removing tissue from the upper eyelid. Excessive removal can lead to an aged and hollowed-out look. To prevent this, it is important to remove an appropriate amount of skin without going overboard. Additionally, it is often necessary to balance this procedure by adding volume to the eyelid or rejuvenating the area using regenerative methods like a Seffiller graft. Take care to ensure these steps are followed to achieve the desired results without any negative effects. One significant risk associated with the lower eyelid is the development of eye rounding, which leads to an aesthetically unpleasing, rounded appearance. This is commonly observed following a blepharoplasty procedure, resulting in the eyes appearing rounder than desired. And why is this? Because often with the lower eyelid approach, there is a tendency to remove skin and muscle, which over time causes the lower eyelid to retract and the eye to become rounded. Therefore, it is generally recommended to correct the lower eyelid through a transconjunctival approach, which involves making incisions from the inside rather than externally cutting the muscle. When using this method, it is best to remove only a thin layer of skin on the lower eyelid in order to reduce the appearance of bags and eliminate excess skin without interfering with the underlying muscle.
