Algorithmic approach to lower lid blepharoplasty

Ryanm Collar, Sofia Lyford-Pike, Patrick Byrne

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


The debate continues around transconjunctival versus transcutaneous approaches. Despite the perceived safety of the former, many experienced surgeons continue to advocate the latter. This review aims to present a balanced view of each approach. It will first address the anatomic basis of lower lid aging and then organize recent literature and associated discussion into the transconjunctival and transcutaneous approaches. The integrated algorithm employed by the senior author will be presented. Finally this review will describe less mainstream suture techniques for lower lid rejuvenation and lower lid blepharoplasty complications with a focus upon lower lid malposition.

Original languageEnglish (US)
Pages (from-to)32-39
Number of pages8
JournalFacial Plastic Surgery
Issue number1
StatePublished - 2013

Bibliographical note

Copyright 2014 Elsevier B.V., All rights reserved.


  • lid anchoring
  • lower lid blepharoplasty
  • skin-muscle flap
  • subciliary approach
  • transconjunctival approach


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