case_images: PMC6340237_01
case_images: Preoperative picture showing lax and pendulous skin in infraorbital region
case_images: IJD-64-55-g001.jpg
case_images: PMC6340237_01_IJD-64-55-g001.jpg
case_images: F1
case_images: On examination, the patient showed aging facies with saggy skin under both eyes which was inelastic and wrinkled [Figure 1].
case_images: Photomicrograph showing fragmented and small elastic fibers which are reduced in number (van Gieson's, x100)
case_images: IJD-64-55-g002.jpg
case_images: PMC6340237_01_IJD-64-55-g002.jpg
case_images: F2
case_images: 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].
case_images: Intraoperative picture showing the planned area of excision
case_images: IJD-64-55-g003.jpg
case_images: PMC6340237_01_IJD-64-55-g003.jpg
case_images: F3
case_images: A crescent-shaped area of the affected skin was marked for excision and infiltrated with local anesthetic with adrenaline [Figure 3].
case_images: Postoperative picture at the end of 6 months showing minimal scarring and no recurrence
case_images: IJD-64-55-g004.jpg
case_images: PMC6340237_01_IJD-64-55-g004.jpg
case_images: F4
case_images: 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].