This 65-year-old female underwent upper and lower lid cosmetic surgery to remove her excess skin and fat pockets. In order to improve the wrinkles in her lower lid, she underwent a chemical peel. Trichloroacetic acid (TCA 30%) was applied to her lower lids at the same time of surgery, and she had a great improvement in the appearance of her lower lid skin.
Preoperative Diagnosis: Bilateral upper and lower lid excess skin, lower lid aging changes with excess fat pockets
Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty), lower lid blepharoplasty with fat repositioning, chemical peel to lower lids