Bacground and objective.

When performing lower eyelid rejuvenation surgery that involves significant skin resection, the risk of causing scleral show as a consequence is high; so, most authors recommend being overly cautious in skin excision.

In our opinion, there is no widely accepted technique for wide skin resections, and for this reason, we propose the Lima Technique to solve this problem.

Methods.

The Lima Technique, after having reviewed the pathophysiology of the scleral show, proposes as the main condition of the new design, the preservation of the parallelism of the muscular fascicles of the lower eyelid when resecting the myocutaneous flap.

Results.

In our revision of 285 patients, the proposed technique allowed lower eyelid skin resection between 8 to 12 mm, without the risk of causing a scleral show.

Conclusions.

The new design of the Lima Technique gave us total safety when performing wide resections of lower eyelid skin in eyelid rejuvenation.

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