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    Demartelaere 2014

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    Tâm Việt
    This document provides guidelines for marking the skin for upper eyelid blepharoplasty incisions. It recommends marking incisions 7-9 mm above the eyelid margin for men and 8-10 mm for women. The incision should be marked 6 mm above the medial eyelid margin and 6-8 mm above the lateral eyelid margin. The lateral incision should swing upward at the lateral canthus ending 15-18 mm from the canthus at a 45 degree angle. Leaving at least 2 cm of skin between the lash margin and lower eyebrow ensures there will be no postoperative lagophthalmos.

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    Demartelaere 2014

    Uploaded by

    Tâm Việt
    9 views2 pages
    This document provides guidelines for marking the skin for upper eyelid blepharoplasty incisions. It recommends marking incisions 7-9 mm above the eyelid margin for men and 8-10 mm for women. The incision should be marked 6 mm above the medial eyelid margin and 6-8 mm above the lateral eyelid margin. The lateral incision should swing upward at the lateral canthus ending 15-18 mm from the canthus at a 45 degree angle. Leaving at least 2 cm of skin between the lash margin and lower eyebrow ensures there will be no postoperative lagophthalmos.

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    This document provides guidelines for marking the skin for upper eyelid blepharoplasty incisions. It recommends marking incisions 7-9 mm above the eyelid margin for men and 8-10 mm for women. The incision should be marked 6 mm above the medial eyelid margin and 6-8 mm above the lateral eyelid margin. The lateral incision should swing upward at the lateral canthus ending 15-18 mm from the canthus at a 45 degree angle. Leaving at least 2 cm of skin between the lash margin and lower eyebrow ensures there will be no postoperative lagophthalmos.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views2 pages

    Demartelaere 2014

    Uploaded by

    Tâm Việt
    This document provides guidelines for marking the skin for upper eyelid blepharoplasty incisions. It recommends marking incisions 7-9 mm above the eyelid margin for men and 8-10 mm for women. The incision should be marked 6 mm above the medial eyelid margin and 6-8 mm above the lateral eyelid margin. The lateral incision should swing upward at the lateral canthus ending 15-18 mm from the canthus at a 45 degree angle. Leaving at least 2 cm of skin between the lash margin and lower eyebrow ensures there will be no postoperative lagophthalmos.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Incisional Guidelines When

    Marking the Skin in Upper Eyelid 20


    Blepharoplasty

    Sheri L. DeMartelaere, Todd R. Shepler,


    Sean M. Blaydon, Russell W. Neuhaus,
    and John W. Shore

    For those patients without a discernible lid crease An axiom that is useful for those starting out:
    (Fig. 20.1), the following measurements can pro- always leave behind at least 2 cm of skin between
    vide a good incisional guideline: the lash margin and lower eyebrow hairs and you
    • 7–9 mm above the mid-eyelid margin for men should never have difficulty with postoperative
    and 8–10 mm for women lagophthalmos. This means that the upper limit
    • 6 mm above the medial eyelid margin at the of skin excision should leave 10–15 mm of skin
    level of the punctum between the inferior brow and upper skin inci-
    • 6–8 mm above the lateral eyelid margin at the sion. This limit can be marked at the beginning of
    level of the lateral canthus the case as a reminder.
    • Lateral eyelid crease incision then swings
    upward at the lateral canthus to end 15–18 mm
    from the lateral canthus at a 45° angle

    S.L. DeMartelaere, MD, FACS (*)


    Uniformed Services,
    University of the Health Sciences, San Antonio, TX, USA
    Department of Surgery, Ocular and Orbital
    Trauma Service, Brooke Army Medical Center,
    San Antonio, TX, USA
    T.R. Shepler, MD • S.M. Blaydon, MD
    R.W. Neuhaus, MD • J.W. Shore, MD
    Texas Oculoplastic Consultants, Austin, TX, USA

    M.E. Hartstein et al. (eds.), Pearls and Pitfalls in Cosmetic Oculoplastic Surgery, 73
    DOI 10.1007/978-1-4939-1544-6_20, © Springer Science+Business Media New York 2015
    74 S.L. DeMartelaere et al.

    a b 10-15 mm

    6-8 mm

    6 mm

    15-18 mm

    8-10 mm F
    7-9 mm M

    c d

    Fig. 20.1 Artist’s sketch depicting incision guidelines for used to measure the eyelid. (c) Planned incision. (d) Skin
    upper eyelid blepharoplasty. (a) Preoperative sketch of excision closed with running suture
    upper eyelid dermatochalasis. (b) Castroviejo calipers are

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