title: Safety of blepharoplasty in patients with preoperative dry eyes.
abstract: OBJECTIVE
  To assess the safety of blepharoplasty in patients with preoperative dry eyes and to report our surgical technique.
  
  
  METHODS
  Private practice with academic affiliation.
  
  
  METHODS
  Retrospective medical chart review of 67 patients with preoperative dry eyes who underwent blepharoplasty. The technique was modified by preserving the orbicularis oculi muscle and its innervation during upper blepharoplasty.
  
  
  METHODS
  The severity of preoperative and postoperative eye dryness by patient survey.
  
  
  RESULTS
  Of the 67 patients, 5 had worsening, 5 had improvement, and 50 had no change in the severity of their dry eyes. Seven patients could not be located for the follow-up survey. Preserving the orbicularis did not affect the cosmetic results.
  
  
  CONCLUSIONS
  By preserving the orbicularis muscle and its innervation, the dynamics of eyelid closure, tear pumping, and tear distribution are not affected. Blepharoplasty can be a safe operation in patients with dry eyes.
authors.affiliation: Department of Otolaryngoloy--Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, USA. saadatmd@aol.com
authors.forename: Daryoush
authors.initials: D
authors.lastname: Saadat
authors.forename: Steven C
authors.initials: SC
authors.lastname: Dresner
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D015352:Dry Eye Syndromes / Q000150:complications*; D005141:Eyelid Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015595:Skin Aging; D016896:Treatment Outcome