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Upper Lid Thick Skin Blepharoplasty.

Norman Pastorek1,2, Benjamin Bradford3

  • 1Facial Plastic Surgery, New York, New York.

Facial Plastic Surgery : FPS
|February 7, 2018
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Summary

Thick-skinned eyelids present unique challenges in blepharoplasty surgery. Surgeons must carefully manage patient expectations and surgical techniques for optimal outcomes in these cases.

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Aesthetic Surgery

Background:

  • Upper lid blepharoplasty techniques are generally consistent across skin types.
  • Thick-skinned eyelids necessitate specific surgical considerations due to anatomical differences.

Purpose of the Study:

  • To outline the unique challenges and considerations for performing upper lid blepharoplasty on patients with thick-skinned eyelids.
  • To guide surgeons in managing patient expectations and surgical approaches for this specific demographic.

Main Methods:

  • Review of surgical considerations for thick-skinned eyelids in blepharoplasty.
  • Analysis of potential complications and aesthetic outcomes specific to this patient group.

Main Results:

  • Thick-skinned patients may have lower brows, more compartmental fat, and different aesthetic potentials.
  • Risks include brow ptosis during surgery, observable scarring, lateral dog-ears, and prolonged edema.
  • Achieving a deep lid sulcus and complete skin excision may be limited.

Conclusions:

  • Upper lid blepharoplasty in thick-skinned patients requires tailored techniques and realistic expectation setting.
  • The procedure may be considered a 'creation' of a new aesthetic rather than simple rejuvenation.
  • Input from significant others is recommended due to significant upper facial aesthetic changes.