Will A Lower Lid Pinch Get Rid Of My Undereye Wrinkles?

Q: Dr. Eppley, I am interested in a consultation for possibly a lower eyelid pinch procedure. I am 32 years old and am experiencing extra skin that Botox is only making worse. My smile pull is a rather large area from cheek to brow.

A: No form of a lower lid blepharoplasty is going to help get rid of wrinkles thaf primarily appear in animation. (smling) Surgery treats static problems not dynamic ones. While you have a small amount of redundant lower eyelid skin (with scleral show)  its removal is not going to make much a difference in the wrinklers while smiling. Those wrinkles appear because of the push of the cheek tissues upward.

While there may be some modest benefit to a lower eyelid pinch bleph and TCA lid peel, it is important to realize what that procedure does and does not achieve.

Dr. Barry Eppley

World-Renowned Plastic Surgeon