Important Concepts:

  • The upper eyelid should be evaluated  together  with the eyebrow.
  • There is a difference in ten attractive appearances of the upper eyelid/ eyebrow appearance in men and women
  • The extent of the upper eyelid surgery should be determined after a proper position of the eyebrow has been established. The presence of upper eyelid ptosis and other abnormal conditions of the upper eyelid should be part of the initial evaluation.
  • The lower eyelid should be evaluated together with the midface.
  •  Adding volume and lifting a deficient mid face is prerequisite for successful lower eyelid surgery. 

What's Stands the test of time:

  • Less is more.
  • Canthoplasty – changing the lateral attachment of the upper and lower eyelid should be taken with extreme caution.
  • Canthopexy- the lifting of the lateral attachment of the upper and lower should be performed only when absolutely needed.
  • Periorbital fat grafting and nano fat grafting is a powerful adjunct to eyebrow and eyelid surgery. It’s technically demanding and should be perfumed with precision.
  • Mid face-lift trough the upper eyelid approach is more often the problem than success.
  • Traditional forehead coronal brow lifts are infrequently needed and should be performed only on selected patients.
  • Transconjunctival blepharoplasty with conservative skin incision is an excellent procedure in many patients and allows simultaneous use of laser resurfacing, chemical peels fat grafting of the upper and lower eyelid.
  • Lacteal brow lifts is a powerful tool to set the proper position of the eyebrow prior to upper eyelid surgery.
  • Botulin toxin is a good way to simulate brow lift and should be used as a preoperative modality in patients considering brow lift.

In elderly patients with deep forehead wrinkles, direct brow lifts give good results.

 

To learn more about blepharoplasty or to schedule an appointment, please call our practice at 908.221.1136 click on the Request an Appointment  link.

To learn more about blepharoplasty, call our practice at 908.221.1136. If you’re planning to arrange your one-on-one consultation with Dr. Evdokimow, please fill out our online Request an Appointment form. 

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