title: Optimal parameters for marking upper blepharoplasty incisions: a 10-year experience.
abstract: Although a variety of techniques for upper blepharoplasty have been described, few studies illustrate and clinically evaluate a system for marking incisions. Presented is a 10-year experience using a specific method for marking upper blepharoplasty incisions that consistently yielded excellent esthetic results. All upper blepharoplasties performed by the senior author between April, 1994 and April, 2004 were reviewed. Markings were designed to end the medial incision 6 mm from the angular vein, end the lateral incision 12 mm from the palpebral fissure, and to extend the incisions superiorly at 45 degrees. Over 10 years, 476 patients underwent cosmetic upper blepharoplasty. There were 22 (4.6%) revisions. Eighteen (3.8%) were performed in clinic using CO2 laser, and 4 (0.8%) patients required surgical revision. Patient satisfaction was high, and no scars were visible outside the brow. Excellent outcomes can be expected using this simple, reproducible, and widely applicable system for marking upper blepharoplasty incisions.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Lahey Clinic Medical Center, Burlington, MA, USA.
authors.forename: Eric G
authors.initials: EG
authors.lastname: Halvorson
authors.forename: Nicholas R
authors.initials: NR
authors.lastname: Husni
authors.forename: Sonal N
authors.initials: SN
authors.lastname: Pandya
authors.forename: Brooke R
authors.initials: BR
authors.lastname: Seckel
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D004954:Esthetics; D006801:Humans; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome