• Joy Xun Chen
  • Alia Koch
  • Mohammad Banki


The human face is composed of small functional and cosmetic units, of which the eyes and periocular region plays a pivotal role in esthetics and the expression of mood, emotion, and character. Blepharoplasty is a commonly performed cosmetic procedure that can restore facial harmony and correct age-induced alterations in the eyelids and periorbital area manifested by redundancy and displacement of soft tissues. Appropriate knowledge of periorbital anatomy, a thorough systemic preoperative assessment, and meticulous surgical technique are necessary to produce good surgical results and minimize the risk of surgical complications. This chapter will discuss the applied anatomy, indications for surgery, preoperative workup, surgical procedure, postoperative care, and complications of upper and lower eyelid blepharoplasty.


Blepharoplasty Eyelid surgery Cosmetic surgery Orbital anatomy Dermatochalasis Facial esthetics Complications 


  1. 1.
    Siegel RJ. Essential anatomy for contemporary upper lid blepharoplasty. Clin Plast Surg. 1993;20:209–12.PubMedGoogle Scholar
  2. 2.
    Doxanas MT, Anderson RL. Eyebrows, eyelids and anterior orbit, Ch 4. In: Doxanas MT, Anderson RL, editors. Clinical orbital anatomy. Baltimore: Williams & Wilkins; 1984. p. 57–88.Google Scholar
  3. 3.
    Jindal K, Sarcia M, Codner MA. Functional considerations in aesthetic eyelid surgery. Plast Reconstr Surg. 2014;134:1154–70.CrossRefGoogle Scholar
  4. 4.
    Morrison CM, Langevin CJ. Eyelid and periorbital aesthetic surgery, Ch 22. In: Siemionow MZ, Klein E, editors. Plastic and reconstructive surgery. London: Springer-Verlag; 2010. p. 297–310.CrossRefGoogle Scholar
  5. 5.
    Chen WPD. Asian blepharoplasty and the eyelid crease. 2nd ed. New York, NY: Elsevier; 2006.Google Scholar
  6. 6.
    Flowers RS, Flowers SS. Precision planning in blepharoplasty. Clin Plast Surg. 1993;20:303–10.PubMedGoogle Scholar
  7. 7.
    Bosniak SL. Cosmetic blepharoplasty. New York: Raven Press; 1990. p. 37–58.Google Scholar
  8. 8.
    Cahill KV, Bradley EA, Meyer DR, Custer PL, Holck DE, Marcet MM, et al. Functional indications for upper eyelid ptosis and blepharoplasty surgery: a report by the American Academy of Ophthalmology. Ophthalmology. 2011;118:2510–7.CrossRefGoogle Scholar
  9. 9.
    Wu C, Wu A, Banki M. Complications of blepharoplasty, Ch 15. In: Ferneini, et al., editors. Complications in maxillofacial cosmetic surgery. Cham: Springer; 2018. p. 183–97.CrossRefGoogle Scholar
  10. 10.
    Jelks GW, Jelks EL. Preoperative evaluation of the blepharoplasty patient. Bypassing the pitfalls. Clin Plast Surg. 1993;20:213–24.PubMedGoogle Scholar
  11. 11.
    DeMartelaere SL, Shepler TR, Blaydon SM, Neuhaus RW, Shore JW. Incisional guidelines when marking the skin in upper eyelid blepharoplasty. In: Hartstein ME, Holds JB, Massry GG, editors. Pearls and pitfalls in cosmetic oculoplastic surgery. New York, NY: Springer; 2008.Google Scholar
  12. 12.
    Castro E, Foster JA. Upper lid blepharoplasty. Facial Plast Surg. 1999;15:173–81.CrossRefGoogle Scholar
  13. 13.
    Naik MN, Honavar SG, Das S, Desai S, Dhepe N. Blepharoplasty: an overview. J Cutan Aesthet Surg. 2009;2:6–11.CrossRefGoogle Scholar
  14. 14.
    Jacono AA, Moskowitz B. Transconjunctival versus transcutaneous approach in upper and lower blepharoplasty. Facial Plast Surg. 2001;17:21–8.CrossRefGoogle Scholar
  15. 15.
    Klapper SR, Patrinely JR. Management of cosmetic eyelid surgery complications. Semin Plast Surg. 2007;21:80–93.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joy Xun Chen
    • 1
  • Alia Koch
    • 1
  • Mohammad Banki
    • 2
  1. 1.New York Presbyterian Hospital, Columbia University Medical CenterNew YorkUSA
  2. 2.Artistic ContoursWarwickUSA

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