Blepharoplasty: Anatomy, Planning, Techniques, and Safety (2024)

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Volume 39 Issue 1 January 2019
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Mohammed Alghoul, MD, FACS

Assistant Professor

Division of Plastic and Reconstructive Surgery, Northwestern Feinberg School of Medicine, Chicago, IL

Corresponding Author:Dr Mohammed Alghoul, Division of Plastic and Reconstructive Surgery, Northwestern Feinberg School of Medicine, 675 N St. Clair Street, Galter 19-250, Chicago, IL 60611, USA. E-mail: mo.alghoul@gmail.com; Twitter: @DrMoAlghoul

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Aesthetic Surgery Journal, Volume 39, Issue 1, January 2019, Pages 10–28, https://doi.org/10.1093/asj/sjy034

Published:

21 February 2018

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Abstract

Blepharoplasty is one of the most commonly performed cosmetic surgical procedures. To date it remains the most powerful method of periorbital rejuvenation when compared to other nonsurgical modalities, especially in the aging face. Despite that, the procedure has its shortcomings that include a steep learning curve, prolonged recovery, and potential for appearance and life-changing complications. Attaining successful outcomes relies on a solid understanding of facial topography, patient and technique selection, and, when appropriate, following a conservative approach. Modern blepharoplasty relies on tissue conservation and volume enhancement rather than aggressive removal. This concept was conceived after the realization that older techniques resulted in a hollowed appearance, which accentuated the aging process. It was further reinforced by advances in knowledge of periorbital anatomy and aging changes. This Continuing Medical Education article will detail periorbital surgical anatomy, preoperative planning, and varied blepharoplasty approaches and techniques, with an emphasis on safety and tailoring the procedure to the patient’s anatomy.

© 2018 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

Topic:

  • eyelid
  • safety
  • surgical procedures, operative
  • blepharoplasty
  • skin

Subject

Oculoplastic Surgery

Issue Section:

Oculoplastic Surgery > Continuing Medical Education Article

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