The 'GRED (Globe Retropulsion and Eyelid Depression)' Maneuver to Access Postseptal Fat in Transconjunctival Lower Blepharoplasty

The globe retropulsion and eyelid depression (GRED) technique is described. This involves simultaneous unimanual lower lid depression and globe retropulsion (over the closed upper lid) with two fingers of one hand. The maneuver reliably promotes direct entry to the clearly delineated post-septal fat compartment, obviates the need for an assistant to create this exposure, and does not obscure the globe or lower lid from view.