Abstract
Periorbital rejuvenation is a common aesthetic goal sought by patients presenting to the plastic or oculoplastic surgeon. For this reason, it is critical that the surgeon understand the functional considerations, such as preexisting blepharoptosis, which will contribute to the ultimate aesthetic outcome. This article will review the anatomy of the normal and ptotic lid and will discuss the approach to diagnosing and characterizing the type and degree of lid ptosis. High-yield surgical techniques for ptosis correction will then be described, including the indications for and steps of each procedure. Finally, the diagnosis and management of common complications that follow ptosis surgery will be discussed. Our main objective is to arm the surgeon with the preoperative and operative planning tools to successfully manage comorbid ptosis and thereby improve blepharoplasty outcomes.
Highlights
The eyes are the focal point of the face
Following a basic summary of normal and aged upper lid anatomy, we will outline the preoperative workup of a patient presenting for upper eyelid rejuvenation, including techniques for identifying the presence and etiology of lid ptosis
With periorbital rejuvenation and blepharoplasty being a common request among aesthetic surgery patients, it is critical that the plastic and oculoplastic surgeon understand the preexisting conditions and potential complications that will affect the ultimate postoperative result
Summary
Codner2 1Department of Plastic Surgery, University of Pittsburgh, PA 15261, USA. How to cite this article: Farber SE, Codner MA. Received: 7 Jan 2020 First Decision: 20 Mar 2020 Revised: 24 Mar 2020 Accepted: 10 Apr 2020 Published: 23 Apr 2020. Chau Pham Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu
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