Rejuvenation of the Lower Eyelid Complex

In 2005, the article reviewed a surgical approach for rejuvenating the lower eyelid complex in male patients, focusing on techniques such as transcutaneous and transconjunctival blepharoplasty, fat transposition, lateral canthoplasty, and skin resurfacing. It detailed the anatomical changes that occur with aging and the importance of a thorough preoperative assessment. The transcutaneous approach was recommended for patients with excess skin and muscle hypertrophy, while the transconjunctival approach was better for younger patients with hereditary fat pseudoherniation. Adjunctive procedures were used to address specific age-related changes, and a conservative approach to fat resection was emphasized to avoid a hollow postoperative appearance. The document concluded that proper preoperative evaluation and selection of treatment modalities could lead to a more youthful lower eyelid appearance.