Marisa Marques

Blepharoplasty

(outpatient surgery)

Blepharoplasty is integrated with correction of the brow position and correction of midfacial descent. In the upper lid, the goals include preservation of upper orbital fullness and a defined upper lid crease. In the lower lid, the goals include a smooth transition between the cheek and lid while restoring youthful eye shape. These ideals may require canthal anchoring, periorbital fat preservation or repositioning, and careful anatomical manipulation of the brow and cheek. Less-invasive approaches may be taken in adolescent patients and young adults with fewer age-related anatomical changes.
 
Postoperative Care
Head elevation and the application of ice to the periorbital region is used for 48 hours after surgery.
Ophthalmic antibiotic ointment is applied along the suture line, as well as on the globe, to prevent or to reduce evaporative tear film loss.
Sutures are removed 5 to 7 days after surgery. Patients are asked to avoid the use of eyelid makeup on the suture lines and contact lenses for 2 weeks following surgery.
 
Complications
Corneal exposure or dryness, chemosis, hematoma, retrobulbar hemorrhage, inadvertment globe penetration, eyelid malposition, hypertrophy, cicatrization, adhesions, lacrimal system dysfunction, ectropion, sunken eyelid resulting from aggressive fat resection, palpebral fissure asymmetries, hypertrophic scarring, alopecia of lashes, chalazia, dermal pigmentation, visual loss (0.04%), diplopia, ptosis.


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