title: [Cosmetic eyelid surgery].
abstract: Cosmetic eyelid surgery is becoming increasingly popular. It can rejuvenate the patient's appearance with relatively minor side effects. Its risk/benefit ratio is one of the best in facial cosmetic surgery. However, the patient does not always accurately assess the aesthetic appearance of his or her eyelids. This underscores the importance of clinical examination in order to determine the patient's wishes, and then make an accurate diagnosis and potential surgical plan. We currently oppose, in general, surgical techniques involving tissue removal (skin-muscle and/or fat) in favor of those involving tissue repositioning and grafting (autologous fat pearl transposition, obtained by liposuction, and lipostructure). Furthermore, the place of adjuvant therapies to blepharoplasty is steadily increasing. They mainly include surface treatments (peels and lasers), dermal fillers and anti-wrinkle botulinum toxin injections. They are also increasingly used in isolation in novel ways. In all cases, a perfect knowledge of anatomy and relevant skills and experience remain necessary.
authors.affiliation: Centre ophtalmologique Kléber, 50, cours Franklin-Roosevelt, 69006 Lyon, France; Service d'ophtalmologie, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Ruban
authors.affiliation: Centre ophtalmologique Kléber, 50, cours Franklin-Roosevelt, 69006 Lyon, France; Service d'ophtalmologie, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: jerembarbier@yahoo.fr.
authors.forename: J
authors.initials: J
authors.lastname: Barbier
authors.affiliation: Centre d'ophtalmologie Monticelli-Paradis, 13008 Marseille, France.
authors.forename: T
authors.initials: T
authors.lastname: Malet
authors.affiliation: Centre ophtalmologique Kléber, 50, cours Franklin-Roosevelt, 69006 Lyon, France; Service d'ophtalmologie, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: E
authors.initials: E
authors.lastname: Baggio
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D019882:Blepharoplasty / Q000145:classification / Q000379:methods* / Q000706:statistics & numerical data; D005143:Eyelids / Q000098:blood supply / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013518:Surgery, Plastic
keywords: Acide hyaluronique; Blépharoplastie esthétique; Botulinum toxin; Cosmetic blepharoplasty; Hyaluronic acid; Lasers; Lipostructure; Peelings; Toxine botulique