Lower Eyelid Approach

A pproaches through the external side of the lower eyelid offer superb exposure to the inferior -^*-orbital rim, the floor of the orbit, the lateral orbit, and the inferior portion of the medial orbital rim and wall. These approaches are given many names in the literature, based primarily on the position of the skin incision in the lower eyelid (e.g., blepharoplasty, subciliary, lower lid, subtarsal, infraorbital). Because of the natural skin creases in the lower eyelid and the thinness of eyelid skin, scars become inconspicuous with time. The laxity of skin here also makes the eyelid virtually immune to keloid formation. The infraorbital incision, however, is almost noticeable to some degree.

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