75 year old woman with fullness of the lower eyelids.
This woman previously had upper eyelid surgery and a facelift. Classically, she would be offered lower eyelid surgery to remove the puffiness in the lower eyelid. She might also be offered arcus marginalis release surgery or DeepfillTM undereye Restylane®. Her real issue is midface descent. She was motivated to have a surgical solution. After a full discussion of options, she elected to have a vertical midface lift performed behind the eyelids. Dr. Steinsapir has developed this innovative approach to midface surgery. Through a tiny skin incision, the midface is approached from behind the eyelid. Dr. Steinsapir then places a hand carved implant at the orbital rim. The results are very natural.