Upper Lid Blepharoplasty

Baker, Thomas J.; Gordon, Howard L.; Mosienko, Peter

doi:10.1097/00006534-197711000-00003

Cited by 36 publications

(4 citation statements)

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“…In creating the sculpted and well‐creased upper lid, removal of tissue overlying the tarsus as well as permanent fixation sutures to form the crease have been advocated, 6 but it has become increasingly popular to create a more natural yet permanent crease through anatomic sculpting 7,8,18 . This is achieved by excising most of the orbicularis muscle visible beneath the excised skin section in the upper lid, followed by almost complete medial to lateral opening of the orbital septum.…”

Section: Methodsmentioning

confidence: 99%

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Blepharoplasty and Browlift with Surgical Variations in Non‐White Patients

Chrisman

1986

The Journal of Dermatologic Surgery and Oncology

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The aesthetic importance of the periocular area often prompts requests for surgical alteration or improvement. The complex array of anatomical differences in this area, coupled with a wide range of patient ages, taxes the examination and consultation skills, as well as the operative ingenuity, of the surgeon. Blepharoplasty and browlift in the non-white patient have not received their fair share in the English literature. Nevertheless, these procedures are applicable, perhaps even in the keloid-prone patient.

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Section: Methodsmentioning

confidence: 99%

“…In 1960 Fernandez 5 wrote a classic paper on the creation of an upper lid crease in Orientals. Flowers, 6 Sheen, 7 and Baker and co‐workers 8 made significant contributions in discussing variations and applicable techniques for periocular aesthetic surgery of Oriental and other non‐white patients.…”

Section: Historymentioning

confidence: 99%

Blepharoplasty and Browlift with Surgical Variations in Non‐White Patients

Chrisman

1986

The Journal of Dermatologic Surgery and Oncology

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“…If definition of the supratarsal fold is desired, some surgeons recommend that a small strip of orbicularis be resected. 10 Conservative fat excision can be performed as part of an upper lid blepharoplasty for medial fullness. There are two fat compartments, medial and central, that can be accessed through small incisions in the septum, teased out, and resected using pinpoint cautery.…”

Section: Upper Lid Blepharoplastymentioning

confidence: 99%

MOC-PSSM CME Article: Blepharoplasty

Trussler

Rohrich

2008

Plastic and Reconstructive Surgery

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Blepharoplasty plays a vital role in facial rejuvenation, with direct aesthetic connection to the brow and the cheek. Upper and lower eyelid blepharoplasty may be indicated for the presence of excess skin and/or orbital fat. Preoperative evaluation should include a thorough medical and ophthalmic history, along with a vision 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 is a broad topic with many operative approaches. Skin-only upper blepharoplasty with medial orbital fat excision is an effective procedure. Lower eyelid blepharoplasty is a more controversial topic. The senior author (R.J.R.) uses a transconjunctival orbital malar retaining ligament disruption along with a lateral retinacular canthopexy, and a lower eyelid skin pinch excision for his lower blepharoplasty. Postoperative care should include aggressive corneal lubrication with eye protection, eye drops, and ointment. Small amounts of lagophthalmos are tolerated postoperatively but usually correct within 7 days. Complications may include retrobulbar hematoma, lower eyelid malposition, dry eye, and need for revision surgery. In summary, blepharoplasty is a common procedure in cosmetic surgery, with important contributions to facial rejuvenation.

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“…Removal of a portion of the preseptal muscle has been a standard technique in Oriental blepharoplasty for many years [3,5,13]. More recently, it has been included as a routine part of upper blepharoplasty in the Caucasian patient [1]. Removal of a strip of preseptal muscle across the entire width of the upper eyelid does not cause any functional deficit in either the blinking or squinting functions of the muscle.…”

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confidence: 99%

Functional upper eyelid anatomy as applied to aesthetic blepharoplasty

Owsley

1981

Aesth. Plast. Surg.

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Abstract. The paper reviews significant anatomic details of the upper eyelid important in performing upper lid aesthetic blepharoplasty. Included are descriptions of the obicularis oculi muscle, the preaponeurotic fat pads, the lateral fat pad, and the lacrimal gland. Current concepts regarding the insertion of the levator palpebrae superioris muscle and its role in creating the upper lid sulcus and fold are discussed. Application of these anatomic considerations in performing upper lid aesthetic blepharoplasty is suggested.

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Upper Lid Blepharoplasty

Cited by 36 publications

References 0 publications

Blepharoplasty and Browlift with Surgical Variations in Non‐White Patients

Blepharoplasty and Browlift with Surgical Variations in Non‐White Patients

MOC-PSSM CME Article: Blepharoplasty

Functional upper eyelid anatomy as applied to aesthetic blepharoplasty

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