Facial plast Surg 2005; 21(4): 279-285
DOI: 10.1055/s-2006-939506
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Rejuvenation of the Lower Eyelid Complex

Stephen W. Perkins1 Rami K. Batniji1
  • 1Perkins/Van Natta Center for Cosmetic Surgery, Indianapolis, Indiana
Further Information

Publication History

Publication Date:
31 March 2006 (online)


Blepharoplasty is one of the most common cosmetic surgeries performed on the male patient. Whereas in the past the male patient would present later in life for eyelid surgery to address functional issues, he now presents earlier in life with an interest in aesthetic improvement as the primary motivating factor. This article reviews the approach of the senior author (SWP) to rejuvenation of the lower eyelid complex. Specifically, we discuss the indications for and techniques of the transcutaneous and transconjunctival approaches for blepharoplasty. As well, adjunctive procedures for rejuvenation of the lower eyelid complex, including fat transposition, lateral canthoplasty, and skin resurfacing, are reviewed.