PMC6340237_01
Preoperative picture showing lax and pendulous skin in infraorbital region
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F1
On examination, the patient showed aging facies with saggy skin under both eyes which was inelastic and wrinkled [Figure 1].
Photomicrograph showing fragmented and small elastic fibers which are reduced in number (van Gieson's, x100)
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F2
Skin biopsy from the involved segment was taken and subjected to hematoxylin and eosin (H and E) and van Gieson's staining which showed a severe reduction in elastin in all the layers of dermis [Figure 2].
Intraoperative picture showing the planned area of excision
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F3
A crescent-shaped area of the affected skin was marked for excision and infiltrated with local anesthetic with adrenaline [Figure 3].
Postoperative picture at the end of 6 months showing minimal scarring and no recurrence
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F4
At the end of 6-month follow-up, the patient showed no recurrence and was satisfied with the esthetic outcome of the procedure [Figure 4].