Rejuvenating the Center of the Face: The Role of Lower Blepharoplasty

The facial aging process often becomes most apparent in the central region of the face, specifically along the delicate anatomical area known as the palpebro-malar junction, or eyelid-cheek junction. This crucial transitional zone between the lower eyelid and the upper cheek can develop multiple concurrent issues that collectively contribute to a permanently tired, aged appearance.


As Dr. Francesco Bernardini explains through a recent clinical case, age-related issues in this specific area typically present in three distinct ways. The first issue occurs in the cheek itself, which undergoes noticeable hollowing due to the atrophy of facial fat. The second problem is localized in the lower eyelids, characterized by the excessive protrusion and presence of fat bags. The third contributing factor is significant skin laxity, which affects the entire eyelid-cheek continuum, leading to a loss of structural definition and youthfulness.

To effectively address this complex trio of concerns, the gold standard procedure is a lower blepharoplasty. Modern oculoplastic approaches to the eyelid lift go far beyond simple tissue excision. Instead, the procedure relies on sophisticated, conservative tissue repositioning techniques. During the surgery, the excess fat from the prominent lower eyelid bags is preserved and strategically moved downwards. This fat transposition effectively fills the structural hollows and corrects the volume loss in the upper cheek.

Following the restoration of volume, the procedure involves tightening the skin of both the eyelid and the cheek by gently lifting the supporting tissues upward. This dual approach of restoring lost volume while lifting sagging skin provides a seamless, smooth transition between the eyes and the cheeks. By expertly addressing the structural integrity of the center of the face, the outcome extends well beyond the eyelids, achieving a global effect of natural rejuvenation, harmony, and renewed freshness for the entire face.

To learn more about customized oculoplastic treatments and facial rejuvenation techniques, contact Dr. Bernardini to schedule a consultation.