Face
Blepharoplasty

The bouble Pexy Blepharoplasty: A True eyelift.

The signs of aging of the lower eyelid include:

1) Laxity of the cantal ligament
2) Descent of the orbicularis oculi muscle
3) Herniation of the fat pads
4) Loose and excess skin
5) Texture changes of the skin. In rejuvenating this area all the factors have to be addressed and corrected. The double pexy blepharoplasty is a combination procedure that addresses all the structural components of the aging lower eyelid, maximizing the cosmetic results and minimizing complications.

The approach is through a standard lower blepharoplasty incision. A skin flap is elevated of the length identical to the projected skin excision. (2-3 mm). This accomplishes two goals: preserves the preseptal portion of the orbicularis for function and the pretarsal part of the muscle for support. Then a skin muscle flap is elevated. The herniated fad pads are exposed through the septum orbitals, redraped over the orbital rim and sutured in place. In selected cases (deep nasojugular hollow, skeletonized look or redos), a thin layer of alloderm is added for support and also sutured it in place. No fat is removed.

A lateral retinaculum cantopexy is done through either an upper or lower blepharoplasty incision to correct cantal laxity. The excess skin is excised preserving all the orbicularis muscle. Then a small (1cm) orbicularis muscle flap is developed at the lateral edge of the skin muscle flap and it is suspended to the periosteum of the lateral orbital rim, just slightly inferior to the cantopexy. The skin is then approximated with interrupted fast absorbable sutures. This double pexy provides more support then a standard procedure, therefore minimizing any potential complications, (especially if it's combined with any midface type of suspension) and allows redraping the skin muscle flap in a more youthful position.

With this procedure all the structural components of the aging eyelid are addressed at the same time, restoring them to the original, more youthful position, where the aging lower eyelid is treated more like an aging face, with the sme volume redistribution and preservation principles.

For more information on Blepharoplasty or to speak with Dr. Calabria, please feel free to contact us.

To view before and after pictures of this procedure, go to our photo gallery.

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