The Boomerang Technique: Redefining Skin-Only Lower Blepharoplasty

Blepharoplasty is a widely performed, tried, and tested procedure for periorbital rejuvenation. Most patients seeking cosmetic surgery of the lower eyelid are mostly concerned with excess skin, fat bags underneath their eyes, and a tired-looking appearance. A variety of techniques and approaches have been described for aesthetic alteration of the lower lid complex. For skin-only transcutaneous lower blepharoplasty, 2 surgical techniques have been described: the only skin flap and the skin pinch. In our experience, many patients seek only skin corrective resection fearing changes in their eye shape and some others have only excess skin. In this article, we will outline our approach to skin-only lower blepharoplasty. The boomerang technique is based only on skin removal with a superolateral vector design and can be incorporated, if needed, with other adjunctive procedures. To our knowledge, no previous article has described a precise and calculated design for skin removal. This serves the purpose of producing an aesthetic reproducible result with additional advantages inherent to the design over other techniques.