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DOI: 10.1055/s-0033-1333833
Upper Lid Blepharoplasty
Publication History
Publication Date:
20 February 2013 (online)
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Abstract
Blepharoplasty is one of the most commonly performed aesthetic procedures in the realm of aging face surgery. Although not prohibitively challenging from a technical perspective, upper blepharoplasty remains a surgical procedure that requires comprehensive knowledge of intricate eyelid anatomy. In addition, the surgeon must pay attention to adjacent areas, notably the brow, which may also need to be addressed to achieve optimal results. These features, along with changes associated with aging and important aspects of the clinical evaluation are reviewed herein. A thorough history and physical exam are required, along with a frank discussion of the patient's expectation and the surgeon's ability to address them. The authors' approach to preoperative marking and surgical procedure are included, along with discussion of variations in technique. Complications that may be seen after upper blepharoplasty are also discussed.
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References
- 1 AAFPRS. 2010 AAFPRS Membership Study. 2011 . Accessed at: www.icrsurvey.com
- 2 Espinoza GM, Holds JB. Evolution of eyelid surgery. Facial Plast Surg Clin North Am 2005; 13: 505-510 , v
- 3 Sichel J. Aphorismes pratiques sur divers points d'ophthalmologie. [Practical aphorisms on various points of ophthalmology] Ann Ocul (Paris) 1844; 12: 185
- 4 Castañares S. Blepharoplasty for herniated intraorbital fat; anatomical basis for a new approach. Plast Reconstr Surg (1946) 1951; 8: 46-58
- 5 Most SP, Mobley SR, Larrabee Jr WF. Anatomy of the eyelids. Facial Plast Surg Clin North Am 2005; 13: 487-492 , v
- 6 Cho M, Glavas IP. Anatomic properties of the upper eyelid in Asian Americans. Dermatol Surg 2009; 35: 1736-1740
- 7 Becker DG, Kim S, Kallman JE. Aesthetic implications of surgical anatomy in blepharoplasty. Facial Plast Surg 1999; 15: 165-171
- 8 Parikh S, Most SP. Rejuvenation of the upper eyelid. Facial Plast Surg Clin North Am 2010; 18: 427-433
- 9 Lee H, Park M, Lee J, Lee ES, Baek S. Histopathologic findings of the orbicularis oculi in upper eyelid aging: total or minimal excision of orbicularis oculi in upper blepharoplasty. Arch Facial Plast Surg 2012; 14: 253-257
- 10 Massry GG. Prevalence of lacrimal gland prolapse in the functional blepharoplasty population. Ophthal Plast Reconstr Surg 2011; 27: 410-413
- 11 Swamy RS, Most SP. Pre- and postoperative portrait photography: standardized photos for various procedures. Facial Plast Surg Clin North Am 2010; 18: 245-252
- 12 Massry GG. Nasal fat preservation in upper eyelid blepharoplasty. Ophthal Plast Reconstr Surg 2011; 27: 352-355
- 13 Kouba DJ, Tierney E, Mahmoud BH, Woo D. Optimizing closure materials for upper lid blepharoplasty: a randomized, controlled trial. Dermatol Surg 2011; 37: 19-30
- 14 Morax S, Touitou V. Complications of blepharoplasty. Orbit 2006; 25: 303-318
- 15 Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg 2004; 20: 426-432
- 16 Mejia JD, Egro FM, Nahai F. Visual loss after blepharoplasty: incidence, management, and preventive measures. Aesthet Surg J 2011; 31: 21-29
- 17 Massry GG. Ptosis repair for the cosmetic surgeon. Facial Plast Surg Clin North Am 2005; 13: 533-539 , vi
- 18 Parikh M, Kwon YH. Vision loss after inadvertent corneal perforation during lid anesthesia. Ophthal Plast Reconstr Surg 2011; 27: e141-e142