Lower Blepharoplasty

This video demonstrates a lower blepharoplasty with fat transposition, in which fat is moved from the eyelid to the midface following release of the orbital retaining ligament. Dr. Watson uses a transconjunctival approach to the inferior orbital rim then opens the septum, which permits development of the fat pedicles for transposition and liposclupting. The periosteum is incised, and a periosteal elevator is used for ligamentous release. The pedicles are then transposed into the developed subperiosteal pockets with a full-thickness quilting-style suture.