ON EYE LIFT (BLEPHAROPLASTY):
There is such a thing as good scarring. When you make an incision underneath the eyelid, you’re creating intentional internal scarring that acts like a “girdle,” helping to keep the fat from bulging outward. With the transconjunctival method, fat can reherniate because the orbital septum hasn’t been scarred. Dr. Lipkin recalls operating on an identical set of twins: one had a standard blepharoplasty and the other the transconjunctival. Eight years after the operation, even though the first twin had significantly more wrinkles (from sun damage), the fat pockets under her eyes hadn’t returned; the twin who underwent the transconjunctival procedure needed to return for touch-up work to get rid of the fat that had reappeared under her eyes.
Dr. Lipkin advises that there is no scarring or wrinkling associated with standard blepharoplasty if it is performed properly. “The trick is to make the incision so you’re not cutting into, and thus weakening, the pretarsal orbicularis, the muscle just below the eye that acts like a sling for holding the eye shape. Often, when this muscle is severed and doesn’t heal well, there’s a subtle change in the shape of the eye, which can alter facial expression.” She adds, “There is no onebest way, which is why an individual, personal consultation is crucial to help determine which procedure (standard or transconjunctival) is best for you.”
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