Upper and Lower Blepharoplasty

The presentation focuses on upper and lower blepharoplasty, procedures aimed at rejuvenating eyelids affected by aging. The speaker emphasizes simple principles for achieving surgical success, such as marking the patient's eyelids while they are upright, to accurately remove redundant skin from the upper eyelid and fat pads from the lower eyelid. Techniques discussed include marking the upper eyelid crease and ensuring conservative excision to avoid overly feminizing male patients. The presentation features videos illustrating the surgical process, demonstrating careful skin excision, hemostasis, and suturing techniques. It contrasts two approaches for lower blepharoplasty: the transcutaneous method, which involves incisions below the lashes, and the transconjunctival approach, which offers a scar-free outcome by using an incision through the conjunctiva. Various before-and-after images showcase the effectiveness of these techniques in youthful rejuvenation of various patients, including considerations for complications such as bleeding and corneal damage. The speaker concludes by highlighting the necessity of adhering to strict protocols and acknowledges the learning curve associated with mastering these procedures.