Marking Strategies for Upper Blepharoplasty

  • Guy G. Massry


Pinching skin to leave lids closed without redundancy of upper lid skin is the safest way to approach upper blepharoplasty. There may be a need for revision (especially temporally) on probably 20% of patients—especially in the cosmetic population, whose expectations are high (not so much in older patients in which insurance covers surgery and whose expectations are different). Leaving lash eversion and even up to 2 mm of incomplete closure is typically safe if orbicularis strength is good (check by forced eyelid closure and attempt to pry lids open) and other corneal protective mechanisms are intact (Bell’s phenomenon, tear production, and corneal sensation).


Skin Excision Orbicularis Muscle Corneal Sensation Lateral Suture Brow Ptosis 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Guy G. Massry
    • 1
    • 2
    • 3
  1. 1.Ophthalmic Plastic and Reconstructive SurgeryAmerican Eye Institute, Cedars Sinai Medical CenterLos Angeles
  2. 2.Spalding Dr. Cosmetic Surgery and DermatologyBeverly Hills
  3. 3.Davidorf Eye GroupWest HillsUSA

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