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Complications of Blepharoplasty

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Complications in Maxillofacial Cosmetic Surgery

Abstract

Blepharoplasty is a common procedure to restore the youthful appearance to the upper and lower eyelids. Although this cosmetic procedure is safe, adverse events can still occur. Appropriate knowledge of periorbital anatomy, a systematic preoperative assessment as well as a meticulous surgical technique will minimize the risk of complications. However, if complications occur, timely management is critical. This chapter will review the ocular anatomy, patient assessment, and the different surgical approaches. Additionally, management of a comprehensive spectrum of blepharoplasty complications will be discussed.

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References

  1. Rohrich RJ, Ghavami A, Mojallal A. The five-step lower blepharoplasty: blending the eyelid-cheek junction. Plast Reconstr Surg. 2011;128(3):775–83.

    Article  CAS  PubMed  Google Scholar 

  2. Kawamoto HK, Bradley JP. The tear “TROUF” procedure: transconjunctival repositioning of orbital unipedicled fat. Plast Reconstr Surg. 2003;112(7):1903–7. Discussion 1908–9.

    Article  PubMed  Google Scholar 

  3. Sullivan PK, Drolet BC. Extended lower lid blepharoplasty for eyelid and midface rejuvenation. Plast Reconstr Surg. 2013;132(5):1093–101.

    Article  CAS  PubMed  Google Scholar 

  4. Hidalgo DA. An integrated approach to lower blepharoplasty. Plast Reconstr Surg. 2011;127(1):386–95.

    Article  CAS  PubMed  Google Scholar 

  5. Zoumalan CI, Roostaeian J. Simplifying blepharoplasty. Plast Reconstr Surg. 2016;137(1):196e–213e.

    Article  CAS  PubMed  Google Scholar 

  6. Codner MA, Wolfli JN, Anzarut A. Primary transcutaneous lower blepharoplasty with routine lateral canthal support: a comprehensive 10-year review. Plast Reconstr Surg. 2008;121(1):241–50.

    Article  CAS  PubMed  Google Scholar 

  7. Carter SR, Stewart JM, Khan J, Archer KF, Holds JB, Seiff SR, Dailey RA. Infection after blepharoplasty with and without carbon dioxide laser resurfacing. Ophthalmology. 2003;110(7):1430–2.

    Article  PubMed  Google Scholar 

  8. Goldberg RA, Li TG. Postoperative infection with group A beta-hemolytic Streptococcus after blepharoplasty. Am J Ophthalmol. 2002;134:908–10.

    Article  PubMed  Google Scholar 

  9. Kronish JW, McLeish WM. Eyelid necrosis and periorbital necrotizing fasciitis. Ophthalmology. 1991;98:92–8.

    Google Scholar 

  10. Weinfeld AB, Burke R, Codner MA. The comprehensive management of chemosis following cosmetic lower blepharoplasty. Plast Reconstr Surg. 2008;122(2):579–86.

    Article  CAS  PubMed  Google Scholar 

  11. Floegel I, Horwath-Winter J, Muellner K, et al. A conservative blepharoplasty may be a means of alleviating dry eye symptoms. Acta Ophthalmol Scand. 2003;81:230.

    Article  PubMed  Google Scholar 

  12. Hamawy AH, Farkas JP, Fagien S, et al. Preventing and managing dry eyes after periorbital surgery: a retrospective review. Plast Reconstr Surg. 2009;123:353–9.

    Article  CAS  PubMed  Google Scholar 

  13. Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol. 2000;118:1264–8.

    Article  CAS  PubMed  Google Scholar 

  14. Leatherbarrow B, Saha K. Complications of blepharoplasty. Facial Plast Surg. 2013;29:281–8.

    Article  CAS  PubMed  Google Scholar 

  15. Hass AN, Penne RB, Stefanyszyn MA, et al. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg. 2004;20:426–32.

    Article  PubMed  Google Scholar 

  16. Mejia JD, Egro FM, Nahai F. Visual loss after blepharoplasty: incidence, management, and preventive measures. Aesthet Surg J. 2011;31:21–9.

    Article  PubMed  Google Scholar 

  17. Terella AM, Wang TD, Kim MM. Complications in periorbital surgery. Facial Plast Surg. 2013;29:64–70.

    Article  CAS  PubMed  Google Scholar 

  18. Korn BS, Kikkawa DO, Schanzlin DJ. Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome. Plast Reconstr Surg. 2007;119:2232–9.

    Article  CAS  PubMed  Google Scholar 

  19. Patel BC, Patipa M, Anderson RL, McLeish W. Management of postblepharoplasty lower eyelid retraction with hard palate grafts and lateral tarsal strip. Plast Reconstr Surg. 1997;99(5):1251–60.

    Article  CAS  PubMed  Google Scholar 

  20. Demirci H, Hassan AS, Reck SD, Frueh BR, Elner VM. Graded full-thickness anterior blepharotomy for correction of upper eyelid retraction not associated with thyroid eye disease. Ophthal Plast Reconstr Surg. 2007;23(1):39–45.

    Article  PubMed  Google Scholar 

  21. Lee HB, Bradley EA. Surgical repair of lateral canthal web. Am J Ophthalmol. 2006;142:339–40.

    Article  PubMed  Google Scholar 

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Correspondence to Mohammad Banki M.D., D.M.D., F.A.C.S. .

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Wu, C., Wu, A., Banki, M., Zhu, T.R. (2018). Complications of Blepharoplasty. In: Ferneini, E., Castiglione, C., Banki, M. (eds) Complications in Maxillofacial Cosmetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-58756-1_15

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  • DOI: https://doi.org/10.1007/978-3-319-58756-1_15

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  • Online ISBN: 978-3-319-58756-1

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