An Accurate Upper Lid Blepharoplasty: A Key Component of Facial Rejuvenation

Abstract

Upper eyelid surgery is a common procedure performed by a variety of subspecialists including facial plastic surgeons, oculoplastic surgeons, general otolaryngologists, and plastic surgeons. Traditionally, a skin incision is marked in the preoperative setting to allow for an excision that eliminates upper eyelid hooding while preventing lagophthalmos. Many different methodologies have been proposed to maximize results and minimize complications. In this article, the authors propose a unique way to safely and effectively address dermatochalasis. The pinch technique allows for an accurate assessment of excess skin and provides a method that requires less operative time than traditional techniques. The use of both local anesthetic with epinephrine and hyaluronidase helps achieve the appropriate plane and attain better hemostasis. Importantly, the presented technique allows for reassessment and revision of the amount of skin excision before incision creation. It is a useful methodology for any surgeon performing upper lid blepharoplasty.

A Novel Preoperative Design to Address Dermatochalasis in Asian Upper Blepharoplasty

“…However, the preoperative design of the amount of skin removal seems likely to not be as a simple procedure as it sounds. Although several approaches for preoperative design and skin excision in Asian upper blepharoplasty have been shown in previous literature,5,10,11,17 some seem likely to be simple whereas others seem likely to have a steep learning curve. The unsatisfactory outcomes are still relatively common due to not appropriately dealing with redundant skin laterally, based on several previous studies as well as our observation.…”

Top 50 Most-Cited Publications on Blepharoplasty Surgery Between 2015 and 2022: From a Current Altmetric Perspective of Research Impact

“…It can also be applied at the same time as another procedure, such as a brow lift and facelift. 10 Although various techniques have been developed for blepharoplasty, the variety in the available literature for published articles reflects the difficulty in achieving excellent surgical outcomes. During the last decade, however, blepharoplasty has become popular surgery among various subspecialty surgeons, and patients may look for their plastic surgeons based on online rating services such as social media to have blepharoplasty.…”