Abstract
The subciliary and skin pinch approaches are the most widely accepted techniques for
treating dermatochalasis of the lower eyelid. Direct excision (DE) is an accepted
method for treating festoons; however, it is not a popular technique for the treatment
of dermatochalasis and pigment of the lower lid. DE of the lower lid offers a safe
and excellent aesthetic result for dermatochalasis and pigment of the lower lid, without
causing lower lid malposition, which can occur with more traditional methods. In addition
to being able to remove significantly more skin without risking lower lid malposition,
this procedure allows for removal of the most pigmented and poorly textured skin overlying
the nasojugal groove. It is an effective alternative to the conventional subciliary
and skin pinch approaches.
Keywords
dermatochalasis - lower eyelid - blepharoplasty - direct excision
