Upper and Lower Blepharoplasty

Upper and Lower Blepharoplasty

IndIcatIOnS Indications are as follows: dermatochalasis, skin laxity, eyebrow descent, prominent fat compartments, lacrimal gland descent, suborbicularis brow fat, prominent orbital rim, laxity of the tarsoligamentous sling, and hypertrophic or atrophic orbicularis oculi. 1 Evaluating medical history, brow stability, and levator function will help determine if ptosis is a contributing factor or...

Upper eyelid approach to lower eyelid blepharoplasty.

IDEAS AND INNOVATIONS Upper Eyelid Approach to Lower Eyelid Blepharoplasty

Transcutaneous lower blepharoplasty addresses excess skin, muscle, and fat through an infraciliary cutaneous incision. This approach offers excellent exposure to the fat pads; however, violation of the orbital septum may result in postoperative lower eyelid retraction, with resultant aesthetic disfigurement as well as exposure keratoconjunctivitis.1 The transconjunctival approach to lower bleph...

Transconjunctival upper lid blepharoplasty.

This technique, which targets excess ocular fat in the medial pocket, may be used as a primary procedure or as a secondary revision in patients who are unhappy with remaining excess medial fat after undergoing blepharoplasty. According to the author, the procedure is fast and relatively easy to perform, and patients benefit from rapid recovery, minimal morbidity, the use of local anesthesia, an...

Lower Eyelid Blepharoplasty

In no other area of facial aesthetic surgery is such a fragile balance struck between form and function as that in eyelid modification. Owing to the delicate nature of eyelid structural composition and the vital role the eyelids serve in protecting the visual system, iatrogenic alterations in eyelid anatomy must be made with care, precision, and thoughtful consideration of existing soft tissue ...