Management of Mundane to Complex Blepharoplasty Problems

ABSTRACT

-Cosmetic blepharoplasty is one of the more commonly performed aesthetic procedures in the United States. Despite the frequency with which it is performed, blepharoplasty should not be considered a "routine" procedure. Unfavorable postoperative outcomes can range from skin and muscle excess, to scleral show or frank ectropion. Traditional blepharoplasty approaches, which have not placed an emphasis on lower lid support, have been associated with a 15 to 20%1 incidence of lower lid malposition. In addition, increasing patient sophistication has "raised the bar" for patient expectations. There are also greater numbers of patients who require secondary procedures to correct or refine previous surgical results. These secondary procedures may require even greater technical expertise to correct. To meet these challenges, newer techniques have evolved that emphasize lower lid support, concomitant midface elevation, and fat preservation.

KEYWORD

Blepharoplasty - canthoplasty - canthopexy - midface aging - risk factors - browlift - midface lift