Bilateral upper and lower blepharoplasty with lateral tarsal strip

This patient presented with concerns of aging of her upper and lower eyelids. While her upper lids were fairly straight-forward, her lower eyelids had severe laxity which can lead to ectropion (pulling of the lower eyelid down) after lower eyelid surgery. To avoid this potential complication, we combined her lower blepharoplasty with a lateral tarsal strip (where a portion of the lower eyelid is removed by the corner of the eye) to tighten the lower lid. She is pictured here 6 months postop.