Avoiding Dog Ears During Upper Blepharoplasty Closure
The medial and lateral “dog ears” that may form at the ends of upper blepharoplasty can be minimized by equalizing tension across the upper eyelid incision. One way to do this is to place the medial and lateral ends of the incision on horizontal stretch. Maintaining tension across the wound produces excellent alignment of skin edges and prevents “surprise” dog ears at the ends of the incision. Careful placement of a fine hemostat (medially) and a single skin hook (laterally) enables closure of the upper blepharoplasty incision, often without the need for a surgical assistant.