Cosmetic Concern: 33 year with lower eyelid compromise after lower transcutaneous blepharoplasty.

Diagnosis: The lower eyelids have been pulled down do to lack of skin and scaring caused by her original lower eyelid surgery. The lower eyelids eyes are bowed down with inferior scleral show. There is also midface ptosis.

Treatment: Dr. Steinsapir has pioneered the use of hand carved orbital rim implants to support the lower eyelid. Also hard palate graft has proven far more reliable for reshaping the lower eyelids than products like Alloderm or Enduragen. She had surgery is two operative sessions and is two months out from the second procedure.