Lower Lid Transconjunctival Blepharoplasty Using the Colorado ® Needle

Abstract

I generally perform blepharoplasty procedures in my office with the patients under local anesthesia. First, to prepare the patient, I numb the lower lid. I usually place a corneal scleral protector over the eye and use a Jaffe speculum to keep the upper lid out of the field. I put a Blair retractor on the lower lid and pull it away from the globe. Using the Colorado® needle (Colorado Biomedical, Inc., Evergreen, CO) tip (Figure) in the coagulation mode, I make a spot about 4 mm below the inferior tarsal border. There tends to be a lot of bleeding in this area, so I use the low-voltage coagulation mode to mark my incision line. I then …