[Blepharoplasty and upper eyelid malposition]

Upper eyelid blepharoplasties are sometimes performed for functional purposes, but more often for cosmetic reasons. Upper eyelid malpositions, such as ptosis or lid retraction, are frequent and of varying causes. It is not rare for patients to present upper lid malposition, with or without functional consequences, associated with myocutaneous excess. Both functional and cosmetic outcomes are important. This article explores the etiologies of these pathologies and current surgical procedures. Furthermore we will discuss the advantages of combined procedures and different approaches to treat these concomitant pathologies.