Blepharoplasty

7.2.1 Discuss the anatomy of the upper and lower eyelids. What is Whitnall’s ligament? What is Lockwood’s ligament? What is Mueller’s muscle? Where are the fat pads?

7.2.2 What is blepharochalasia? dermatochalasia?

7.2.3 What are the indications for a blepharoplasty?

7.2.4 Discuss the pre-operative evaluation of a patient for blepharoplasty. What is the Schirmer test? What is the snap test? Should you obtain an ophthalmology consultation?

7.2.5 Lower blepharoplasty surgery-transconjunctival vs. subciliary. What is the skin-muscle flap procedure?

7.2.6 Give us a table of possible blepharoplasty complications. How would you treat each?

7.2.7 When should you do lower lid shortening/tightening procedures?

Perkins SW, Batniji RK. Rejuvenation of the lower eyelid complex. Facial Plast Surg. 2005 Nov;21(4):279-85. PMID:16575705

7.2.8 Is there a role for lasers in blepharoplasties?

7.2.9 What forms the supratarsal fold? How does this apply to the Asian eyelid?

7.2.10 Describe the procedure to westernize the Asian lid.

7.2.11 What can you do about crow’s feet?

7.2.12 How do you avoid the inferior oblique muscle in lower lid bleph? What are the symptoms if you injure it?

Mowlavi A, Neumeister MW, Wilhelmi BJ. Lower blepharoplasty using bony anatomical landmarks to identify and avoid injury to the inferior oblique muscle. Plast Reconstr Surg. 2002 Oct;110(5):1318-22; discussion 1323-4. PMID:12360075