The upper and lower eyelids, eyebrows, and midface all play a role in the overall aesthetics of the face. Importantly, concepts of beauty are varied throughout the world, with certain facial contours more desirable than others, depending upon the societal norms. These contours are created and altered by the individual characteristics of the eyelid margin, tarsal plate, orbital fat, levator aponeurosis, and the bony orbit. When considering upper eyelid blepharoplasty, each of these structures needs to be evaluated and addressed appropriately utilizing a variety of surgical techniques. Each patient has individual needs and concerns, as well as their own concept of beauty, which the surgeon must consider to ensure the correct techniques and the desired aesthetic outcome obtained. This customized approach to blepharoplasty requires a healthy patient–physician relationship that can ultimately be both satisfying and challenging.
Lacrimal Gland Orbital Septum Tarsal Plate Eyelid Skin Levator Aponeurosis
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