Aesthetic implications of surgical anatomy in blepharoplasty

A successful outcome in rejuvenation surgery of the orbital region relies on a well-developed sense of the aesthetic goal and a critical understanding of the underlying anatomic basis for the deviation from this goal in a given patient. As the surgeon assesses the patient to determine the approach to achieve the best aesthetic result, careful consideration to both form and function must be undertaken. In this article we consider the orbital region by anatomic subunit with special attention to the anatomic causes for deviations from the aesthetic ideal. Exacting preoperative assessment of the patient's presenting anatomy is critical in guiding the surgeon to a proper approach. A conservative approach helps to minimize the risk of complications, which have both functional and aesthetic consequences. The implications of the specific anatomy for the surgical options to achieve the most desirable aesthetic result are discussed.