Upper Lid Blepharoplasty - 21/04/16

Doi : 10.1016/j.fsc.2016.01.002

Samuel Hahn, MD ^a, John B. Holds, MD ^b,^c, Steven M. Couch, MD ^d,^⁎
^a Facial Plastic Surgery, Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, 1020 N. Mason Road, Suite 205, Creve Coeur, St Louis, MO 63141 USA
^b Department of Ophthalmology, Saint Louis University, 12990 Manchester Suite 102, St Louis, MO 63131, USA
^c Department of Otolaryngology, Head and Neck Surgery, Saint Louis University, 12990 Manchester Suite 102, St Louis, MO 63131, USA
^d Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8096, St Louis, MO 63110, USA

^∗Corresponding author. 660 South Euclid Avenue, Campus Box 8096, St Louis, MO 63110.660 South Euclid AvenueCampus Box 8096St LouisMO63110

Résumé

Upper lid blepharoplasty is a common procedure for restoration and rejuvenation of the upper eyelids that can be performed safely and reliably. Understanding the anatomy and aging process of the brow–upper lid aesthetic unit along with properly assessing the excesses and deficiencies of the periorbital region helps to formulate an appropriate surgical plan. Volume deficiency in the aging upper lid may require corrective augmentation. Preexisting asymmetries and ptosis need to be identified and discussed before surgery. Standardized photography along with a candid discussion regarding patients’ desired outcomes and realistic expectations are essential to a successful outcome.

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Keywords : Blepharoplasty, Upper eyelid, Upper lid blepharoplasty, Dermatochalasis, Brow ptosis, Periorbital aging, Lid crease