Tips for Evaluating Lower Eyelid Blepharoplasty Patients

In this 1-Minute video, Dr. Rao Chundury shares strategies for evaluating patients for lower eyelid blepharoplasty. He recommends examining both the fat compartments ("hills") as well as the tear troughs ("valleys") to assess what most bothers the patient. A simple fat excision might suffice if the hill is bothersome. If both areas are troublesome, fat repositioning may be helpful. Lateral canthal laxity should also be evaluated, as laxity can be remedied via lid-tightening procedures. Finally, surgeons should evaluate the skin surface. An external approach might be considered for patients with excess skin, whereas an ablative laser procedure can help with poor skin quality.

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