title: Current concepts in aesthetic upper blepharoplasty.
abstract: After studying this article, the participant should be able to: 1. Discuss nomenclature and anatomy associated with upper blepharoplasty. 2. Perform preoperative assessment, decision-making, and counseling of patients. 3. Describe current surgical planning, eyelid marking, and various techniques used in upper blepharoplasty, including lasers. 4. Recognize and treat postoperative complications from blepharoplasty. Traditional blepharoplasty has often involved the excision of both lax skin and muscle and excessive removal of fat, leaving patients long term with a hollow orbit and a harsh, operated appearance that accelerates the aging process. Current methods of periorbital rejuvenation are more conservative, are based on concise preoperative evaluation, and involve the limited resection of the coveted soft tissue from the eye to restore a youthful appearance. The authors describe anatomy, preoperative assessment, decision-making and counseling of patients, surgical planning, eyelid marking, and various techniques, including lasers, along with postoperative complications associated with current concepts in aesthetic upper blepharoplasty.
authors.affiliation: Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA. rod.rohrich@utsouthwestern.edu
authors.forename: Rod J
authors.initials: RJ
authors.lastname: Rohrich
authors.forename: Dana M
authors.initials: DM
authors.lastname: Coberly
authors.forename: Steven
authors.initials: S
authors.lastname: Fagien
authors.forename: James M
authors.initials: JM
authors.lastname: Stuzin
mesh_terms: D000465:Algorithms; D001504:Beauty; D019882:Blepharoplasty / Q000009:adverse effects / Q000379:methods / Q000592:standards; D003376:Counseling; D003657:Decision Making; D004954:Esthetics; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008297:Male; D019315:Retrobulbar Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013536:Suture Techniques; D009626:Terminology as Topic