Simultaneous skin pinch lower blepharoplasty and full-field Er:YAG laser resurfacing: a novel combined approach for lower eyelid rejuvenation

= .65), indicating preserved lid position. Lower lid tightening was noted in 21/25 patients. No ectropion, lower lid retraction, new scleral show, or vision-threatening complications occurred. Transient chemosis occurred in 6 patients and prolonged erythema in 2, all resolving with conservative care. Combined lower eyelid skin pinch surgery and full-field erbium:YAG resurfacing, within a comprehensive lower-eyelid rejuvenation protocol, significantly improved tear trough appearance and wrinkles while preserving lid position, with mostly transient complications.