Cultural Differences in Pretarsal Fullness Acceptance

    loading  Checking for direct PDF access through Ovid


I read with interest the article by Jeon et al.1 on pre tarsal augmented lower blepharoplasty. The authors indicated that pretarsal fullness is an attractive aspect of the lower eyelid and, in their article, they present a procedure to create this.
I attach a lateral lower eyelid orbicularis flap to the lateral orbital wall when I perform a midface lift and a lower eyelid plication blepharoplasty.2,3 At times, this creates a tightening of the pretarsal orbicularis and a subsequent fullness of the pretarsal area. Most of my Caucasian patients find this to be unacceptable, and I then have to treat this with either excision of the thickened orbicularis or botulinum toxin type A injections into it. I point this out, as I suspect there may be a cultural difference in what is considered attractive with the authors’ procedure.
    loading  Loading Related Articles