Abstract
The plastic surgery literature universally recommends that forehead lift and upper blepharoplasty be carried out as separate surgical interventions, owing to the risk of secondary lagophthalmos, corneal exposure, or both. Upper blepharoplasty after forehead lift is indicated for many patients because of upper lid laxity, steatoblepharon, or both. This approach requires a second surgical procedure, which incurs expense and time loss for patient and physician. For the past 8 years, patients of this practice undergoing upper facial rejuvenation with quantifiable laxity or steatoblepharon have had simultaneous forehead lift and upper blepharoplasty with excellent results and no lagophthalmos or corneal exposure. The surgical procedure and the technique for evaluating the amount of tissue to be resected are described. The author recommends simultaneous forehead lift and upper lid surgery in upper facial rejuvenation.
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