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Complications of blepharoplasty.
1Department of Ophthalmic Plastic Surgery, Manhattan Eye and Ear Hospital, New York, New York.
Clinics in Plastic Surgery
|April 1, 1988
Summary
Blepharoplasty effectively addresses some eyelid aging signs but not all, like fine wrinkles or pigmentation. Surgeons must manage patient expectations regarding surgical outcomes and potential side effects.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Involutional eyelid changes, including rhytids, lateral canthal dynamic lines, malar bags, and dermal pigmentation, are common concerns.
- Blepharoplasty is a frequent surgical procedure for eyelid rejuvenation.
Purpose of the Study:
- To highlight the limitations of blepharoplasty in treating certain age-related eyelid changes.
- To emphasize the critical role of preoperative patient education and expectation management.
- To discuss common sequelae and potential complications of blepharoplasty.
Main Methods:
- Review of common involutional eyelid changes and their response to blepharoplasty.
- Analysis of the importance of preoperative consultations and examinations.
- Discussion of surgical outcomes, including expected sequelae and complications.
Main Results:
- Blepharoplasty is often ineffective for fine rhytids, dynamic lines, malar bags, and dermal pigmentation.
- Preoperative discussions are crucial for setting realistic patient expectations.
- Common sequelae include palpebral fissure widening, potentially causing ocular irritation, and lower eyelid bowing.
Conclusions:
- Surgeons must clearly communicate the limitations of blepharoplasty.
- Thorough preoperative assessment is essential to identify pre-existing conditions and manage expectations.
- Understanding and acknowledging common, albeit undesirable, surgical sequelae is vital for patient satisfaction and surgical practice.