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The author has refined his lower blepharoplasty technique with the goal of eliminating scleral show and residual skin while maintaining normal eyelid posture. His technique involves fat removal and/or modification through a transconjunctival approach, aligning the lower eyelid globe and canthus with a stitch can-thopexy, and measured excision of redundant skin with mastery of the “pinch” technique.
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Lorne King Rosenfield (2007) studied this question.
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