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Blepharoplasty

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Evidence-Based Procedural Dermatology
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Abstract

The recent popularity of cosmetic surgery has cultivated a renewed interest in understanding the components of the aging face. While much attention has focused on the glabellar complex and the lower third of the face, the periorbital region continues to play an important role in facial rejuvenation.

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References

  1. American Academy of Facial Plastic and Reconstructive Surgery. 2006 membership survey: trends in facial plastic surgery; 2007. http://www.aafprs.org/media/stats_polls/aafprsMedia2006.pdf. Accessed 13 Jan 2009.

  2. Rohrich RJ, Coberly DM, Fagien S, Stuzin JM. Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg. 2004;113(3):32e–42.

    Article  PubMed  Google Scholar 

  3. American Society of Plastic Surgeons. Practice parameter for blepharoplasty; 2007. http://www.plasticsurgery.org/Medical_Professionals/Health_Policy_and_Advocacy/Health_Policy_Resources/Evidence-based_GuidelinesPractice_Parameters.html. Accessed 13 Jan 2009.

  4. American Academy of Ophthalmology. Functional indications for upper and lower eyelid blepharoplasty: a report by the American academy of ophthalmology ophthalmic technology assessment committee; 1995. http://one.aao.org/CE/PracticeGuidelines/Ophthalmic_Content.aspx?cid=352adf24-e6aa-4454-839b-a10033727dbc&popup=. Accessed 13 Jan 2009.

    Google Scholar 

  5. Rizk SS, Matarasso A. Lower eyelid blepharoplasty: analysis of indications and the treatment of 100 patients. Plast Reconstr Surg. 2003;111(3):1299–306.

    Article  PubMed  Google Scholar 

  6. Trussler AP, Rohrich RJ. MOC-PSSM CME article: blepharoplasty. Plast Reconstr Surg. 2008;121 (1 Suppl): 1–10.

    Article  PubMed  Google Scholar 

  7. Griffin RY, Sarici A, Ayyildizbayraktar A, Ozkan S. Upper eyelid blepharoplasty in patients with LASIK. Orbit. 2006;25(2):103–6.

    Article  PubMed  Google Scholar 

  8. Rees TD, LaTrenta GS. The role of the Schirmer’s test and orbital morphology in predicting dry-eye syndrome after blepharoplasty. Plast Reconstr Surg. 1988;82(4):618–25.

    Google Scholar 

  9. Fincher EF, Moy RL. Cosmetic blepharoplasty. Dermatol Clin. 2005;23(3):431–42.

    Article  PubMed  CAS  Google Scholar 

  10. Coleman III WP. Cold steel for blepharoplasty. Dermatol Surg. 2000;26(9):886–7.

    Article  PubMed  Google Scholar 

  11. Gladstone HB. Blepharoplasty: indications, outcomes, and patient counseling. Skin Therapy Lett. 2005;10(7): 4–7.

    PubMed  CAS  Google Scholar 

  12. David LM, Sanders G. CO2 laser blepharoplasty: a comparison to cold steel and electrocautery. J Dermatol Surg Oncol. 1987;13(2):110–4.

    PubMed  CAS  Google Scholar 

  13. Morrow DM, Morrow LB. CO2 laser blepharoplasty. A comparison with cold-steel surgery. J Dermatol Surg Oncol. 1992;18(4):307–13.

    PubMed  CAS  Google Scholar 

  14. Biesman BS. Blepharoplasty: laser or cold steel? Skin Therapy Lett. 2003;8(7):5–7.

    PubMed  CAS  Google Scholar 

  15. Baker SS, Hunnewell JM, Muenzler WS, Hunter GJ. Laser blepharoplasty: diamond laser scalpel compared to the free beam CO2 laser. Dermatol Surg. 2002;28(2):127–31.

    Article  PubMed  Google Scholar 

  16. Rokhsar CK, Ciocon DH, Detweiler S, Fitzpatrick RE. The short pulse carbon dioxide laser versus the Colorado needle tip with electrocautery for upper and lower eyelid blepharoplasty. Lasers Surg Med. 2008; 40(2):159–64.

    Article  PubMed  Google Scholar 

  17. Lessner AM, Fagien S. Laser blepharoplasty. Semin Ophthalmol. 1998;13(3):90–102.

    Article  PubMed  CAS  Google Scholar 

  18. Niamtu III J. Radiowave surgery versus CO laser for upper blepharoplasty incision: which modality produces the most aesthetic incision? Dermatol Surg. 2008;34(7):912–21.

    Article  PubMed  CAS  Google Scholar 

  19. Ritland JS, Torkzad K, Juul R, Lydersen S. Radiosurgery versus conventional surgery for dermatochalasis. Ophthal Plast Reconstr Surg. 2004;20(6):423–5.

    Article  PubMed  Google Scholar 

  20. Kim SW, Kim WS, Cho MK, Whang KU. Transconjunctival laser blepharoplasty of lower eyelids: Asian experience with 1,340 cases. Dermatol Surg. 2003;29(1):74–9.

    Article  PubMed  CAS  Google Scholar 

  21. Baylis HI, Long JA, Groth MJ. Transconjunctival lower eyelid blepharoplasty. Technique and complications. Ophthalmology. 1989;96:1027–32.

    PubMed  CAS  Google Scholar 

  22. Baylis HI, Goldberg RA, Kerivan KM, Jacobs JL. Blepharoplasty and periorbital surgery. Dermatol Clin. 1997;15(4):635–47.

    Article  PubMed  CAS  Google Scholar 

  23. Griffin RY, Sarici A, Ozkan S. Treatment of the lower eyelid with the CO2 laser: transconjunctival or transcutaneous approach? Orbit. 2007;26(1):23–8.

    Article  PubMed  Google Scholar 

  24. De Castro CC. A critical analysis of the current surgical concepts for lower blepharoplasty. Plast Reconstr Surg. 2004;114(3):785–93.

    Article  PubMed  Google Scholar 

  25. Perkins SW, Dyer II WK, Simo F. Transconjunctival approach to lower eyelid blepharoplasty. Experience, indications, and technique in 300 patients. Arch Otolaryngol Head Neck Surg. 1994;120(2):172–7.

    PubMed  CAS  Google Scholar 

  26. Kim EM, Bucky LP. Power of the pinch: pinch lower lid blepharoplasty. Ann Plast Surg. 2008;60(5):532–7.

    Article  PubMed  CAS  Google Scholar 

  27. Greene D, Koch RJ, Goode RL. Efficacy of octyl-2-cyanoacrylate tissue glue in blepharoplasty. A prospective controlled study of wound-healing characteristics. Arch Facial Plast Surg. 1999;1(4): 292–6.

    Article  PubMed  CAS  Google Scholar 

  28. Scaccia FJ, Hoffman JA, Stepnick DW. Upper eyelid blepharoplasty. A technical comparative analysis. Arch Otolaryngol Head Neck Surg. 1994;120(3): 827–30.

    PubMed  CAS  Google Scholar 

  29. Kim DW, Bhatki AM. Upper blepharoplasty in the Asian eyelid. Facial Plast Surg Clin North Am. 2007;15(3):327–35.

    Article  PubMed  Google Scholar 

  30. Morax S, Touitou V. Complications of blepharoplasty. Orbit. 2006;25(4):303–18.

    Article  PubMed  Google Scholar 

  31. Glavas IP. The diagnosis and management of blepharoplasty complications. Otolaryngol Clin North Am. 2005;38(5):1009–21.

    Article  PubMed  Google Scholar 

  32. Fulton JE. The complications of blepharoplasty: their identification and management. Dermatol Surg. 1999;25(7):549–58.

    Article  PubMed  CAS  Google Scholar 

  33. DeMere M, Wood T, Austin W. Eye complications with blepharoplasty or other eyelid surgery. Plast Reconstr Surg. 1974;53:634–7.

    Article  PubMed  CAS  Google Scholar 

  34. Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg. 2004;20(6):426–32.

    Article  PubMed  Google Scholar 

  35. Cruz AA, Ando A, Monteiro CA, Elias Jr J. Delayed retrobulbar hematoma after blepharoplasty. Ophthal Plast Reconstr Surg. 2001;17(2):126–30.

    Article  PubMed  CAS  Google Scholar 

  36. Teng CC, Reddy S, Wong JJ, Lisman RD. Retrobulbar hemorrhage nine days after cosmetic blepharoplasty resulting in permanent visual loss. Ophthal Plast Reconstr Surg. 2006;22(5):388–9.

    Article  PubMed  Google Scholar 

  37. Yachouh J, Arnaud D, Psomas C, Arnaud S, Goudot P. Amaurosis after lower eyelid laser blepharoplasty. Ophthal Plast Reconstr Surg. 2006;22(3):214–5.

    Article  PubMed  Google Scholar 

  38. Kelly PW, May DR. Central retinal artery occlusion following cosmetic blepharoplasty. Br J Ophthalmol. 1980;62(12):918–22.

    Article  Google Scholar 

  39. Medina FM, Pierre-Filho P, Freitas HB, Rodrigues FK, Caldato R. Blindness after cosmetic blepharoplasty: case report. Arq Bras Oftalmol. 2005;68(5): 697–9.

    Article  PubMed  Google Scholar 

  40. Wolfort FG, Vaughan TE, Wolfort SF, Nevarre DR. Retrobulbar hematoma and blepharoplasty. Plast Reconstr Surg. 1999;104(7):2154–62.

    Article  PubMed  CAS  Google Scholar 

  41. Anderson RL, Edwards JJ. Bilateral visual loss after blepharoplasty. Ann Plast Surg. 1980;5(4):288–92.

    Article  PubMed  CAS  Google Scholar 

  42. Goldberg RA, Marmor MF, Shorr N, Chirstenbury JD. Blindness following blepharoplasty: two case reports, and a discussion of management. Ophthalmic Surg. 1990;21(2):85–9.

    PubMed  CAS  Google Scholar 

  43. Good CD, Cassidy LM, Moseley IF, Sanders MD. Posterior optic nerve infarction after lower lid blepharoplasty. J Neuroophthalmol. 1999;19(3):176–9.

    Article  PubMed  CAS  Google Scholar 

  44. Brancato R, Pece A, Carassa R. Central retinal artery occlusion after local anesthesia for blepharoplasty. Graefes Arch Clin Exp Ophthalmol. 1991;229(6): 593–4.

    Article  PubMed  CAS  Google Scholar 

  45. Kordic H, Flammer J, Mironow A, Killer HE. Perioperative posterior ischemic optic neuropathy as a rare complication of blepharoplasty. Ophthalmologica. 2005;219(3):185–8.

    Article  PubMed  CAS  Google Scholar 

  46. Shorr N, Goldberg RA, McCann JD, Hoenig JA, Li TG. Upper eyelid skin grafting: an effective treatment for lagophthalmos following blepharoplasty. Plast Reconstr Surg. 2003;112(5):1444–8.

    Article  PubMed  Google Scholar 

  47. Kushner BJ, Jethani JN. Superior oblique tendon damage resulting from eyelid surgery. Am J Ophthalmol. 2007;144(6):943–8.

    Article  PubMed  Google Scholar 

  48. Ghabrial R, Lisman RD, Kane MA, Milite J, Richards R. Diplopia following transconjunctival blepharoplasty. Plast Reconstr Surg. 1998;102(4):1219–25.

    Article  PubMed  CAS  Google Scholar 

  49. Mazow ML, Avilla CW, Morales HJ. Restrictive horizontal strabismus following blepharoplasty. Am J Ophthalmol. 2006;141(4):773–4.

    Article  PubMed  Google Scholar 

  50. Jameson NA, Good WV, Hoyt CS. Fat adherence simulating inferior oblique palsy following blepharoplasty. Arch Ophthalmol. 1992;110(10):1369.

    PubMed  CAS  Google Scholar 

  51. Alfonso E, Levada AJ, Flynn JT. Inferior rectus paresis after secondary blepharoplasty. Br J Ophthalmol. 1984;68(8):535–7.

    Article  PubMed  CAS  Google Scholar 

  52. Schlenker JD, Slavin SA. Proptosis immediately following blepharoplasty due to an inferior rectus intramuscular hematoma. Ann Plast Surg. 2006;56(4): 437–8.

    Article  PubMed  CAS  Google Scholar 

  53. Weinfeld AB, Burke R, Codner MA. The comprehensive management of chemosis following cosmetic lower blepharoplasty. Plast Reconstr Surg. 2008;122(2):579–86.

    Article  PubMed  CAS  Google Scholar 

  54. Enzer YR, Shorr N. Medical and surgical management of chemosis after blepharoplasty. Ophthal Plast Reconstr Surg. 1994;10(1):57–63.

    Article  PubMed  CAS  Google Scholar 

  55. Bleyen T, Rademaker R, Wolfs RC, van Rij G. Acute angle closure glaucoma after oculoplastic surgery. Orbit. 2008;27(1):49–50.

    Article  PubMed  Google Scholar 

  56. Wride NK, Sanders R. Blindness from acute angle-closure glaucoma after blepharoplasty. Ophthal Plast Reconstr Surg. 2004;20(6):476–8.

    Article  PubMed  Google Scholar 

  57. Ogata H, Kurosaka D, Nakajima T, Sasaki K, Oshiro T. Myopic change after transconjunctival blepharoplasty during carbon dioxide laser: case report. Aesthetic Plast Surg. 2005;29(4):313–6.

    Article  PubMed  Google Scholar 

  58. Rosenthal EL, Baker SR. Development of Graves orbitopathy after blepharoplasty. A rare complication. Arch Facial Plast Surg. 1999;1(2):127–9.

    Article  PubMed  CAS  Google Scholar 

  59. Perlman JP, Conn H. Transient internal ophthalmoplegia during blepharoplasty. A report of three cases. Ophthal Plast Reconstr Surg. 1991;7(2):141–3.

    Article  PubMed  CAS  Google Scholar 

  60. Moorthy RS, Rao NA. Atypical mycobacterial wound infection after blepharoplasty. Br J Ophthalmol. 1995; 79(1):93.

    Article  PubMed  CAS  Google Scholar 

  61. Yang JW, Kim YD. A case of primary lid tuberculosis after upper lid blepharoplasty. Korean J Ophthalmol. 2004;18(2):190–5.

    Article  PubMed  Google Scholar 

  62. Rao J, Golden TA, Fitzpatrick RE. Atypical mycobacterial infection following blepharoplasty and full-face resurfacing with CO2 laser. Dermatol Surg. 2002;28(8): 768–71.

    Article  PubMed  Google Scholar 

  63. Suner IJ, Meldrum ML, Johnson TE, Tse DT. Necrotizing fasciitis after cosmetic blepharoplasty. Am J Ophthalmol. 1999;128(3):367–8.

    Article  PubMed  CAS  Google Scholar 

  64. Jordan DR, Mawn L, Marshall DH. Necrotizing fasciitis caused by group A streptococcus infection after laser blepharoplasty. Am J Ophthalmol. 1998;125(2):265–6.

    Article  PubMed  CAS  Google Scholar 

  65. Goldberg RA, Li TG. Postoperative infection with group A beta-hemolytic Streptococcus after blepharoplasty. Am J Ophthalmol. 2002;134(6):908–10.

    Article  PubMed  Google Scholar 

  66. Rees TD, Craig SM, Fisher Y. Orbital abscess following blepharoplasty. Plast Reconstr Surg. 1984;73(1): 126–7.

    Article  PubMed  CAS  Google Scholar 

  67. Soll SM, Lisman RD, Charles NC, Palu RN. Pyogenic granuloma after transconjunctival blepharoplasty: a case report. Ophthal Plast Reconstr Surg. 1993;9(4): 298–301.

    Article  PubMed  CAS  Google Scholar 

  68. Heltzer JM, Ellis DS, Stewart WB, Spencer WH. Diffuse nodular eyelid lipogranuloma following sutureless transconjunctival blepharoplasty dressing with topical ointment. Ophthal Plast Reconstr Surg. 1999;15(6):438–41.

    Article  PubMed  CAS  Google Scholar 

  69. Kavouni A, Stanek JJ. Lower eyelid cysts following transconjunctival blepharoplasty. Plast Reconstr Surg. 2002;109(1):400–1.

    PubMed  Google Scholar 

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Butani, A. (2012). Blepharoplasty. In: Alam, M. (eds) Evidence-Based Procedural Dermatology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09424-3_24

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  • DOI: https://doi.org/10.1007/978-0-387-09424-3_24

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