Abstract
Upper eyelid surgery is a common procedure performed by a variety of subspecialists
including facial plastic surgeons, oculoplastic surgeons, general otolaryngologists,
and plastic surgeons. Traditionally, a skin incision is marked in the preoperative
setting to allow for an excision that eliminates upper eyelid hooding while preventing
lagophthalmos. Many different methodologies have been proposed to maximize results
and minimize complications. In this article, the authors propose a unique way to safely
and effectively address dermatochalasis. The pinch technique allows for an accurate
assessment of excess skin and provides a method that requires less operative time
than traditional techniques. The use of both local anesthetic with epinephrine and
hyaluronidase helps achieve the appropriate plane and attain better hemostasis. Importantly,
the presented technique allows for reassessment and revision of the amount of skin
excision before incision creation. It is a useful methodology for any surgeon performing
upper lid blepharoplasty.
Keywords
upper eyelid surgery - blepharoplasty - aging face
