Upper and Lower Eyelid Blepharoplasty

The speaker discusses the procedure of upper and lower eyelid blepharoplasty, sharing insights gained from experience and training. Aging changes in eyelids include brow descent, redundant skin leading to hooding, and prolapsed fat pads causing bags under the eyes. The upper eyelid surgery is deemed easier than the lower, although both require a solid understanding of eyelid anatomy. Preoperative marking in an upright position is crucial to ensure correct skin excision. Techniques for upper eyelid surgery include precise skin marking, infiltration with anesthesia, and meticulous suturing to avoid complications like hematomas that could result in blindness. For lower eyelids, two common approaches are highlighted: the transcutaneous and the transconjunctival, with the latter being preferred due to lack of visible scarring. The speaker emphasizes the importance of anatomical knowledge when accessing the lower eyelid's fat pads. Potential complications from blepharoplasty include post-operative bleeding, corneal damage, lagophthalmos, and ectropion. Overall, eyelid rejuvenation is common among patients aged 45 to 75, and careful adherence to pre-op and post-op protocols can facilitate successful outcomes in these procedures.