Esthetic enhancements in upper blepharoplasty

Traditional upper blepharoplasty typically involves resection of excess upper eyelid skin and muscle with or without fat excision. Well-established concepts in periorbital aging have been challenged by newer morphologic and histologic studies that have characterized the changes that occur in the var...

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Bibliographic Details
Published inClinics in plastic surgery Vol. 40; no. 1; p. 139
Main Authors Lee, Judy W, Baker, Shan R
Format Journal Article
LanguageEnglish
Published United States 01.01.2013
Subjects
Adipose Tissue - anatomy & histology
Adipose Tissue - surgery
Aftercare - methods
Blepharoplasty - methods
Esthetics
Eyebrows - anatomy & histology
Eyelids - anatomy & histology
Eyelids - surgery
Facial Muscles - anatomy & histology
Facial Muscles - surgery
Humans
Lacrimal Apparatus - anatomy & histology
Lacrimal Apparatus - surgery
Postoperative Complications
Skin Aging
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Summary:Traditional upper blepharoplasty typically involves resection of excess upper eyelid skin and muscle with or without fat excision. Well-established concepts in periorbital aging have been challenged by newer morphologic and histologic studies that have characterized the changes that occur in the various periorbital soft tissue components. Several modified or adjunctive techniques have recently emerged to improve esthetic outcomes in upper blepharoplasty. The authors review surgical technique in detail: nasal fat repositioning, orbicularis oculi preservation, increasing lateral upper eyelid fullness, lacrimal gland resuspension, internal brow elevation, and glabellar myectomy, along with complications and aftercare involved with procedures.
ISSN:1558-0504
DOI:10.1016/j.cps.2012.08.008