Lower Eyelid Blepharoplasty

  • Christopher J. Calvano
  • Karina Richani-Reverol
  • Frank A. Nesi
Chapter

Abstract

Lower eyelid blepharoplasty has evolved from subtractive, excisional procedures to the current modern approaches which utilize tissue reposition and augmentation to achieve ideal rejuvenation of the region. The following factors are important considerations when performing lower eyelid surgery

Keywords

Nylon Epinephrine Photography Ectropion Betadine 

References

  1. 1.
    Miller CC. Cosmetic surgery: the correction of featural imperfections. 2nd ed. Chicago: Oak Printing; 1907.Google Scholar
  2. 2.
    Espinoza GM, Holds JB. Evolution of eyelid surgery. Facial Plast Surg Clin North Am. 2005;13(4):505–10.PubMedCrossRefGoogle Scholar
  3. 3.
    Bourget J. Les hernies graisseuses de l’orbite: Notre traitement chirurgical [Fat herniation of the orbit: our surgical treatment]. Bull Acad Med. 1924;92:1270.Google Scholar
  4. 4.
    Loeb R. Fat pad sliding and fat grafting for leveling lid depressions. Clin Plast Surg. 1981;8(4):757–76.PubMedGoogle Scholar
  5. 5.
    Hamra ST. Arcus marginalis release and orbital fat preservation in midface rejuvenation. Plast Reconstr Surg. 1995;96(2):354–62.PubMedCrossRefGoogle Scholar
  6. 6.
    Shorr N, Hoenig JA, Goldberg RA, Perry JD, Shorr JK. Fat preservation to rejuvenate the lower eyelid. Arch Facial Plast Surg. 1999;1(1):38.Google Scholar
  7. 7.
    Baker SR. Orbital fat preservation in lower-lid blepharoplasty. Arch Facial Plast Surg. 1999;1(1):33–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Haddock NT, Saadeh PB, Boutros S, Thorne CH. The tear trough and lid/cheek junction: anatomy and implications for surgical correction. Plast Reconstr Surg. 2009;123(4):1332–40.PubMedCrossRefGoogle Scholar
  9. 9.
    Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124(6):869–71.PubMedCrossRefGoogle Scholar
  10. 10.
    Jelks GW, Jelks EB. The influence of orbital and eyelid anatomy on the palpebral aperture. Clin Plast Surg. 1991;18(1):183–95.PubMedGoogle Scholar
  11. 11.
    Jelks GW, Glat PM, Jelks EB, Longaker MT. The inferior retinacular lateral canthoplasty: a new technique. Plast Reconstr Surg. 1997;100(5):1262–70.PubMedCrossRefGoogle Scholar
  12. 12.
    Gladstone J, Black H, Myint S, Brazzo B, Nesi F, editors. Gladstone and Nesi’s oculoplastic surgery atlas: cosmetic facial surgery. New York: Springer; 2005. pp. 71–78.Google Scholar
  13. 13.
    Eder H. Importance of fat conservation in lower blepharoplasty. Aesthet Plast Surg. 1997;21(3):168–74.CrossRefGoogle Scholar
  14. 14.
    Hamra ST. The role of the septal reset in creating a youthful eyelid-cheek complex in facial rejuvenation. Plast Reconstr Surg. 2004;113(7):2124–41.PubMedCrossRefGoogle Scholar
  15. 15.
    Honrado CP, Pastorek NJ. Long-term results of lower-lid suspension blepharoplasty: a 30-year experience. Arch Facial Plast Surg. 2004;6(3):150–4.PubMedCrossRefGoogle Scholar
  16. 16.
    Espinoza GM, Holds JB. Evaluation and treatment of the tear trough deformity in lower blepharoplasty. Semin Plast Surg. 2007;21(1):57–64.PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Lisman RD, Rees T, Baker D, Smith B. Experience with tarsal suspension as a factor in lower lid blepharoplasty. Plast Reconstr Surg. 1987;79(6):897–905.PubMedCrossRefGoogle Scholar
  18. 18.
    Taban M, Nakra T, Hwang C, Hoenig JA, Douglas RS, Shorr N, et al. Aesthetic lateral canthoplasty. Ophthal Plast Reconstr Surg. 2010;26(3):190–4.PubMedCrossRefGoogle Scholar
  19. 19.
    Reidy JP. Swellings of eyelids. Br J Plast Surg. 1960;13:256–67.PubMedCrossRefGoogle Scholar
  20. 20.
    Mladick RA. The muscle-suspension lower blepharoplasty. Plast Reconstr Surg. 1979;64(2):171–5.PubMedCrossRefGoogle Scholar
  21. 21.
    Massiha H. Combined skin and skin-muscle flap technique in lower blepharoplasty: a 10-year experience. Ann Plast Surg. 1990;25(6):467–76.PubMedCrossRefGoogle Scholar
  22. 22.
    Beare R. Surgical treatment of senile changes in the eyelids the McIndoe-Beare Technique. In: Smith B, Converse JM, editors. Proceedings of the second international symposium on plastic and reconstructive surgery of the eye and adnexia. St. Louis: Mosby; 1967. pp. 362–366.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Christopher J. Calvano
    • 1
  • Karina Richani-Reverol
    • 2
  • Frank A. Nesi
    • 2
    • 3
    • 4
  1. 1.Department of OphthalmologyUniversity of Central FloridaOrlandoUSA
  2. 2.Consultants in Ophthalmic and Facial Plastic Surgery, P.C.SouthfieldUSA
  3. 3.Oculoplastic SurgeryOakland University William Beaumont School of MedicineRoyal OakUSA
  4. 4.Department of Ophthalmology, Kresge Eye InstituteWayne State University School of MedicineDetroitUSA

Personalised recommendations