Blepharoplasty: An overview

Abstract

Blepharoplasty plays a vital role in facial rejuvenation, with direct aesthetic relation to the brow and the cheek. Upper and lower eyelid blepharoplasty are indicated for the treatment of excess skin and/or orbital fat. Preoperative evaluation should include a thorough medical and ophthalmic history, along with a detailed cutaneous and eye examination. Symptoms of preexisting dry eye should be elicited preoperatively, as they directly correlate with postoperative complications. Physical examination should take into account brow position, eyelid ptosis, lower eyelid position, and cheek projection. Blepharoplasty can be performed by many operative approaches. This review highlights the standard skin-only upper blepharoplasty and lower eyelid conservative fat excision or repositioning.

Transcutaneous blepharoplasty in blepharochalasis

“…The skin incision can be closed using running or interrupted sutures with various absorbable or permanent material. [5] Lower eyelid blepharoplasty can be done either through transconjunctival or transcutaneous approach. [25] The advantage of transcutaneous approach is that it corrects excess skin and muscle laxity.…”

“…[5] Lower eyelid blepharoplasty can be done either through transconjunctival or transcutaneous approach. [25] The advantage of transcutaneous approach is that it corrects excess skin and muscle laxity. [5]…”

“…[25] The advantage of transcutaneous approach is that it corrects excess skin and muscle laxity. [5]…”

Upper lid dermatochalasis and transcutaneous blepharoplasty

“…The advantage of transcutaneous approach is that it corrects excess skin and muscle laxity. (6) (Fig. 4) …”

Selecting the Best Eyelid Techniques

“…23 The upper eyelid crease is 8-9 mm above the ciliary margin in females and 7-8 mm in males. 24 The following parameters are generally accepted for the normal eyelid position: 23 • The upper lid should rest 1-2 mm below the superior limbus of the iris while the lower lid should rest at the level of the inferior limbus. • The highest point of the upper lid margin should be medial to a vertical line through the center of the pupil.…”