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Updated: Mar 22, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Upper Lid Blepharoplasty
Samuel Hahn1, John B Holds2, Steven M Couch3
1Facial Plastic Surgery, Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, 1020 N. Mason Road, Suite 205, Creve Coeur, St Louis, MO 63141 USA.
Abstract:
Upper lid blepharoplasty is a common procedure for restoration and rejuvenation of the upper eyelids that can be performed safely and reliably. Understanding the anatomy and aging process of the brow-upper lid aesthetic unit along with properly assessing the excesses and deficiencies of the periorbital region helps to formulate an appropriate surgical plan. Volume deficiency in the aging upper lid may require corrective augmentation. Preexisting asymmetries and ptosis need to be identified and discussed before surgery. Standardized photography along with a candid discussion regarding patients' desired outcomes and realistic expectations are essential to a successful outcome.
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