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Incisional Guidelines When Marking the Skin in Upper Eyelid Blepharoplasty

  • Sheri L. DeMartelaere
  • Todd R. Shepler
  • Sean M. Blaydon
  • Russell W. Neuhaus
  • John W. Shore

Abstract

For those patients without a discernable lid crease (Figure 16.1), the following measurements can provide a good incisional guideline:
  • 7–9 mm above the mid-eyelid margin for men and 8–10 mm for women

  • 6 mm above the medial eyelid margin at the level of the punctum

  • 6–8 mm above the lateral eyelid margin at the level of the lateral canthus

  • Lateral eyelid crease incision then swings upwards at the lateral canthus to end 15–18 mm from the lateral canthus at a 45° angle

Figure 16.1

Artist’s sketch depicting incision guidelines for upper eyelid blepharoplasty. (A) Preoperative sketch of upper eyelid dermatochalasis. (B) Castrovierjo calipers are used to measure the eyelid. (C) Planned incision. (D) Skin excision closed with running suture.

Keywords

Public Health Plastic Surgery Skin Incision Plan Incision Eyelid Margin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Sheri L. DeMartelaere
    • 1
    • 2
  • Todd R. Shepler
    • 3
  • Sean M. Blaydon
    • 3
  • Russell W. Neuhaus
    • 3
  • John W. Shore
    • 3
  1. 1.Uniformed ServicesUniversity of the Health SciencesUSA
  2. 2.Department of SurgeryOcular and Orbital Trauma Service, Brooke Army Medical CenterSan AntonioUSA
  3. 3.Texas Oculoplastic ConsultantsAustinUSA

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