Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: Maximizing results and minimizing complications in a 5-year experience

During the past 5 years, the authors have used a direct trans-lower lid ble pharoplasty subperiosteal approach to the lower lid and midface for the pur pose of correction of midfacial aging in 757 patients. In a smaller but sig nificant group, this approach has proven valuable in difficult reconstructi ve situations. The purpose of this article is two-fold: (1) to provide a co mprehensive retrospective evaluation of the value and promise of the techni que and (2) to provide a comprehensive discussion of the pitfalls and compl ications that have been associated with use of this technique. In addition, technical modifications that may lower the rare of morbidity associated wi th the use of the procedure are described.