PDF herunterladen
Facial Plast Surg 2018; 34(01): 043-049
DOI: 10.1055/s-0037-1615824
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Upper Lid Thick Skin Blepharoplasty

Norman Pastorek
1   Facial Plastic Surgery, New York, New York
2   Department of Facial Plastic Surgery, New York Presbyterian Hospital-Cornell Med Center, New York, New York
,
Benjamin Bradford
3   Department of Otolaryngology – Head/Neck Surgery, New York University School of Medicine, New York, New York
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
06. Februar 2018 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Abstract

While many of the basic tenants of upper lid blepharoplasty remain constant regardless of skin type, the thick-skinned eyelid patient requires special consideration. The brow may be naturally lower in the thick-skinned patient. These patients are more prone to having the brow pulled downward while attempting to remove redundant skin. There may also be more fat in the medial and central compartments. There may be fat in a lateral compartment overlying the lacrimal gland. Patient's expectations for a deep lid sulcus and complete excision of redundant skin may not be possible. They are more prone to an observable scar, a small dog ear at the lateral wound edge, and prolonged postoperative lid edema. Patients with lifelong upper lid fullness must get some input from significant others because their upper face aesthetic will change. In these patients, the eyelid surgery is not a rejuvenation, but a creation.

Keywords

blepharoplasty - thick skin - upper lid
 

  • Suggested Readings

  • 1 Castanares S. Blepharoplasty for herniated intraorbital fat; anatomical basis for a new approach. Plast Reconstr Surg (1946) 1951; 8 (01) 46-58
    CrossrefPubMedGoogle Scholar
  • 2 Pastorek NJ. Upper lid blepharoplasty. In: Papel IP. , ed. Facial Plastic and Reconstructive Surgery. 2nd ed. New York: Thieme Medical Publishers; 2002: 185
    Google Scholar
  • 3 Saadat D, Dresner SC. Safety of blepharoplasty in patients with preoperative dry eyes. Arch Facial Plast Surg 2004; 6 (02) 101-104
    CrossrefPubMedGoogle Scholar
  • 4 Most SP, Mobley SR, Larrabee Jr WF. Anatomy of the eyelids. Facial Plast Surg Clin North Am 2005; 13 (04) 487-492 , v v
    CrossrefPubMedGoogle Scholar
  • 5 Pastorek N. Blepharoplasty. In: Bailey BJ, Johnson JT. , eds. Head & Neck Surgery – Otolaryngology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006: 2611-2626
    Google Scholar
  • 6 McCafferty LR. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg 2008; 121 (03) 1061 , author reply 1061–1062
    CrossrefPubMedGoogle Scholar
  • 7 Friedland JA, Lalonde DH, Rohrich RJ. An evidence-based approach to blepharoplasty. Plast Reconstr Surg 2010; 126 (06) 2222-2229
    CrossrefPubMedGoogle Scholar
  • 8 Lam VB, Czyz CN, Wulc AE. The brow-eyelid continuum: an anatomic perspective. Clin Plast Surg 2013; 40 (01) 1-19
    CrossrefPubMedGoogle Scholar
  • 9 Branham G, Holds JB. Brow/Upper lid anatomy, aging and aesthetic analysis. Facial Plast Surg Clin North Am 2015; 23 (02) 117-127
    CrossrefPubMedGoogle Scholar
  • 10 Hahn S, Holds JB, Couch SM. Upper Lid Blepharoplasty. Facial Plast Surg Clin North Am 2016; 24 (02) 119-127
    CrossrefPubMedGoogle Scholar