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During the natural course of aging, excess skin, muscle, and fat can produce an unattractive bulge in the lower eyelid. This protrusion of the lower eyelid is an aesthetic condition often associated with an old and tired appearance. Although transcutaneous lower ble­ pharoplasty can lead to a more acceptable aesthetic appearance, it has been associated with an increased risk of lower eyelid malposi­ tion. To minimize lower eyelid complications, lateral canthoplasty can be combined with lower blepharoplasty, as horizontal eyelid laxity, entropion, ectropion, and lateral canthal dystopia can all be corrected by lateral canthoplasty [1]. Because lower eyelid bags are a common problem in young peo­ ple who prefer invisible postoperative scars, transconjunctival ble­ pharoplasty has received increasing attention as an alternate tech­ nique to traditional transcutaneous blepharoplasty [2,3]. At the same time, lateral canthoplasty can be performed to maximize aes­ thetic outcomes. Many young Asian patients with short palpebral Joo Youn Kim, Jung Il Kim, Hyun Gon Choi, Ki Il Uhm, Dong Hyeok Shin

Efficacy of Lateral Canthoplasty Combined with Transconjuctival Lower Blepharoplasty in Young Asian Patients