This method opens all the three lower lid bag and repairs or tightens the orbital septum. This conserves the fat and pushes it back into the orbit where the fat usually serves as a cushion or lubricant for the six eye muscles used to move the eyeball.
Advantages
- Most conservative in preserving fat.
- No Sunken eye effect more than 10 years later
- All three bags are dealt with at same time.
- Less bleeding complication
- Longer lasting effect 8-10 years
Disadvantages
- Technical skill of surgeon needed.
- Longer operation time.
- Not for patient with poor eyelid muscle tone.