Cosmetic blepharoplasty

Performing flawless cosmetic blepharoplasty surgery requires attention to many details. A proper medical work-up with establishment of patient rapport and preoperative photographic documentation should begin the evaluation. The surgical correction of concomittant brow position abnormalities should be considered. Resection of the brow fat pad is useful in recontouring bulky brows and redefining the superior sulci. Upper lid tissue resection needs to be individualized with skin resection, skin muscle resection, and lipocontouring of the suborbicularis muscle as well as with Burows triangles and "W" plasties. Lower lids may be handled by skin flap resection alone, myocutaneous flaps resection, or a combination of both. Lateral tarsal suspension avoids lower skin retraction.