Techniques in oculofacial surgery continue to develop as our understanding of anatomy and pathophysiology continue to evolve. While the centerpiece of the quest to rejuvenate the upper eyelid and brow has for years been the upper blepharoplasty, several modifications to traditional techniques have been developed that allow for enhanced outcomes utilizing less invasive approaches. Techniques dis...

This technique, which targets excess ocular fat in the medial pocket, may be used as a primary procedure or as a secondary revision in patients who are unhappy with remaining excess medial fat after undergoing blepharoplasty. According to the author, the procedure is fast and relatively easy to perform, and patients benefit from rapid recovery, minimal morbidity, the use of local anesthesia, an...

OBJECTIVE To study the effect of an anchor fixation stitch in combination with the external incision technique in Asian upper blepharoplasty. METHODS Combined with an upper eyelid blepharoplasty using a conventional external incision procedure, an anchor stitch was used to fixate the dermal layer of the pretarsal skin and the upper edge of the tarsal plate. The procedure was performed in 72 p...

BACKGROUND For patients with senile ptosis, aesthetic blepharoplasty can be combined with ptosis surgery. However, the amount of skin excision necessary in blepharoplasty is not clearly defined by measurements of the upper eyelids. OBJECTIVES The authors preoperatively evaluate the amount of skin to be excised in blepharoplasty. METHODS Fifty patients with bilateral senile ptosis were inclu...

IndIcatIOnS Indications are as follows: dermatochalasis, skin laxity, eyebrow descent, prominent fat compartments, lacrimal gland descent, suborbicularis brow fat, prominent orbital rim, laxity of the tarsoligamentous sling, and hypertrophic or atrophic orbicularis oculi. 1 Evaluating medical history, brow stability, and levator function will help determine if ptosis is a contributing factor or...

BACKGROUND Volume loss in the upper and lower eyelids and in the malar area is now considered a major component of periorbital aging. As classical resection blepharoplasty does not address this loss, filling procedures are becoming increasingly common. OBJECTIVES The authors present their experience with periorbital fat grafting in conjunction with routine blepharoplasty to address periorbita...