Transcutaneous lower lid blepharoplasty in a male under local anesthesia.

Here’s the revised and optimized version of your text: Our patient, a man in his 40s, was concerned about the appearance of his lower eyelids. He felt his eyes looked tired and noticed significant puffiness, especially in the lower eye bags. During our evaluation, we identified prominent fat deposits in the medial, central, and temporal areas of the lower lids, accompanied by mild excess skin, muscle laxity, and lower lid laxity. Additionally, he had excess skin in the upper eyelids. We recommended both upper and lower lid blepharoplasty to address his concerns, but we prioritized the lower lids, which presented the greater challenge. Leveraging our expertise in facial plastic surgery, we performed the procedure in-office under local anesthesia with minimal oral sedation. Using a transcutaneous lower lid blepharoplasty technique, we made a precise incision below the lashes, removed fat, released the orbito-malar ligament, and performed a canthopexy with a muscle sling to enhance lower lid support. At three months post-surgery, the patient shows remarkable improvement in lower lid contours. The scars are faintly visible beneath the lashes and will continue to fade. His refreshed appearance aligns with his goals, and we are excited to proceed with step two: the upper lid blepharoplasty. This case highlights our commitment to delivering tailored results, especially for men seeking plastic surgery in Austin.