[Blepharoplasty in aesthetic facial surgery].

Blepharoplasty is the most commonly performed procedure in aesthetic facial surgery. The upper eyelid is part of the same aesthetic subunit as the eyebrow and the lower eyelid is part of the same aesthetic subunit as the cheek. In upper eyelid blepharoplasty the excess skin and possibly also a portion of the sphincter is removed. A low-hanging eyebrow is preferably corrected by lifting the brow instead of over excising the redundant eyelid skin. Blepharoplasty of the lower eyelid is generally carried out by a very limited excision of the skin and the orbicularis oculi muscle in order to prevent lower lid retraction (ectropion). Rejuvenation in the lower lid region is also achieved by fat resection or redistribution, by means of which the double convex contour deformity is reduced. Blepharoplasty is generally performed under local anaesthesia and complications are rare. Patient satisfaction is generally high.