blepharoplasty 101

The complete guide to
cosmetic surgery around the eyes


table of contents

What are you interested in?

Introduction
Getting Started >
About this resource
and how to use it

Part I
Eyelids, Brow, and Cheek >
Cosmetic surgery on and
around the eyelids

Part II
Before and After Photos >
Blepharoplasty results
with commentary

Part III
Augmentation Blepharoplasty >
Volume enhancement
for periorbital hollowness

Part IV
Double Eyelid Surgery >
Creases, folds, scars and
hollows on the Asian eyelid

Part V
Corrective Eyelid Surgery >
Functional & reconstructive
care for common problems

 

INTRODUCTION

blepharoplasty for the rest of us

GETTING STARTED

- Home
- Blepharoplasty for the rest of us
- Self-directed, self-paced
- Bleph Lite: Questions & Answers

 

PART I

meronk lash eye photo

EYELID, BROW & CHEEK
COSMETIC SURGERY

Planning | Essentials | Surgeons
Costs | Options | Upper Eyelids
Brows | Lower Eyelids | Midface
Less Invasive | Variations
Risks | Revision | Experiencing
Recovery | Healing | Long Term
The Future | Video Case Studies


PLANNING

01: Getting started
- Today's best blepharoplasty
- Your eyes are not the windows
- Don't jump in blindly
- What works, what doesn't
- More than just a pretty name

02: Signs and symptoms
- The elegant eyelid
- But do I really need this?
- No eyes, no you
- Beware: The Animators!
- Why it inevitably sags

03: Timing
- Do it now, later, or never?
- How long before the redo?
- Statistics sometimes lie


ESSENTIAL REFERENCES

04: Eyelid and orbital anatomy
- Yes, anatomy can seem boring
- Practical video anatomy

05: Blepharoplasty terms to know
- Cutting through the jargon
- Cutting through even more

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EYELID SURGEONS

06: Selecting an eyelid surgeon
- Eyelid surgeons differ - 1
- Eyelid surgeons differ - 2
- Are oculoplastic surgeons better?
- Myth of eyelid Board certification
- Screen a specialist with a phone
- Plastic surgery social media
- Is your surgeon an artist?

07: The blepharoplasty consultation
- Get the most from a consultation
- Blepharoplasty computer imaging
- What not to do afterwards
- Second, third, and fourth opinions
- Free seminars and cheap wine
- Internet virtual consultations


COSTS AND OPTIONS

08: Blepharoplasty prices
- The part that hurts the most
- Watch out for the add-ons

09: Deciding how much to do
- On setting proper goals
- Always do them together?
- "I only do the uppers."
- For every action, a reaction
- KISS blepharoplasty
- The $21,000 eyelid lift
- Surgery that won't work

10: Facility: office or hospital?

11: Anesthesia: local or general?

12: Medical insurance
- How much will my HMO cover?
- How bad does it need to be?

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UPPER EYELID OPERATIONS

13: Upper eyelid blepharoplasty
- Upper blepharoplasty basics
- Upper crease shapes & heights
- Fixation anchor blepharoplasty
- Unintended brow descent
- Upper blepharoplasty photos

14: Tissue-sparing blepharoplasty
- Concept of eco-friendly surgery
- Tissue-sparing upper surgery
- When tissue-sparing is advised
- Tissue-sparing surgery photos

15: Eyelid ptosis repair
- Eyelid ptosis repair basics
- Root causes of adult ptosis
- Cosmetic mini-ptosis repair


BROW AND FOREHEAD

16: Eyebrow surgery
- Brow lift surgery basics
- Proceed with caution
- Exposing hollowness
- Brow & forehead lift photos
- Browpexy and browplasty
- Browpexy surgery photos
- Browplasty surgery photos

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LOWER EYELID OPERATIONS

17: Lower eyelid blepharoplasty
- Main lower eyelid approaches
- Transconjunctival surgery basics
- Transcutaneous surgery basics
- 8 Transconjunctival pros & cons
- 11 Transcutaneous pros & cons
- Transconjunctival surgery photos
- Transcutaneous surgery photos
- Lower skin pinch blepharoplasty
- Festoons and mounds -- Oh, my!
- Lower pretarsal fullness: Aging?

18: Tissue-sparing lower surgery
- Eco-friendly lower blepharoplasty
- Should fat ever be removed?
- Should skin ever be removed?
- Tissue-sparing photos, skin
- Tissue-sparing photos, internal

19: Canthopexy & canthoplasty
- Canthopexy & canthoplasty
- 10 Canthopexy pros and cons
- Cosmetic canthoplasty
- Canthopexy surgery photos
- Canthoplasty surgery photos

20: Lower eyelid fat repositioning
- Lower fat repositioning
- Arcus marginalis release
- Robbing Peter to pay Paul


UPPER CHEEK AND MIDFACE

21: Cheek and midface lift
- Cheek & midface lift basics
- Upper cheek depressions
- Fat, fillers, and implants

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INJECTABLES AND PEELS

22: Chemical & laser skin peels
- Eyelid skin rejuvenation
- TCA eyelid chemical peel
- Laser & RF skin tightening

23: Botulinum toxin
- Botox around the eyes
- Botox mini brow lift
- No-needle rub-on BTX-A

24: Tissue fillers & fat transfer
- Dermal & subdermal fillers
- Eyelid & orbital fat injections

25: "Cosmetic medicine" alternatives
- Non-surgical blepharoplasty
- Minimally-invasive rejuvenation
- Fillers for lower eyelid bags
- Chemical blepharoplasty
- Liquid blepharoplasty & brow lift
- Effortless second skin


ADJUNCTS AND VARIATIONS

26: Adjuncts and variations
- Eyelid and brow tattooing
- African-American blepharoplasty
- Asian eyelid surgery basics
- Laser as a cutting tool
- Blepharoplasty for the other half
- Going stitchless
- Under-eye dark circles
- Latisse eyelash enhancement
- Tape or glue to simulate a crease
- Cosmetic orbital decompression

27: General blepharoplasty topics
- Dry eyes & blepharoplasty
- Lasik & blepharoplasty

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RISKS AND REVISION

28: Risks and complications
- Blepharoplasty risks: Overview
- Physical complications
- Psychological complications
- Long-term complications
- Bad blepharoplasty: Why?
- Hollowness after: Why?
- Persistent vision change
- Revision surgery: Introduction

29: Upper eyelid revision surgery
- Treatment of upper complications
- Late complication: Rising crease
- Sample revision: Inability to close

30: Lower eyelid revision surgery
- Treating lower complications
- Eyelid collapse vs. retraction
- Sample revision: Severe retraction
- Sample revision: Severe scarring

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EXPERIENCING SURGERY

31: Preparation before surgery
- Do's & don'ts before surgery
- Supplies you don't need to buy
- Do I really need to stop aspirin?
- Blood pressure before and after
- Arnica: miracle or money maker?

32: The morning of the big day
- Instructions for the morning of
- Surgical consent: Read it!

33: Experiencing blepharoplasty
- From arrival to discharge
- How long does surgery take?

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RECOVERY AND AFTERCARE

34: Instructions after blepharoplasty
- The afternoon & evening
- Beginning the next morning
- Later instructions
- Measures to reduce swelling
- Best artificial tears for comfort
- Using drops & ointment
- Using hot & cold compresses
- Avoiding premature exercise


HEALING

35: Healing
- Is this ever going to heal?
- Help! My swelling is getting worse
- Help! My eyelashes went numb
- Blepharoplasty healing photos 1
- Blepharoplasty healing photos 2
- Blepharoplasty healing photos 3
- Eyelid scar healing photos
- OTC healing and snake oil
- Modulation of vigorous wounds

36: Camouflage after surgery
- Camouflage with cosmetics
- Camouflage without cosmetics

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LONG TERM

37: Preserving results
- Eyelid care & maintenance
- Second time around

38: Patient satisfaction
- Not every patient will be happy
- Realistic expectations

39: Psychological issues
- Preoperative warning signs
- Battling the blues


THE FUTURE

40: Smart Blepharoplasty 2.0


CASE STUDIES

41: "Wrap-up" videos
- Case study one
- Case study two

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PART II

before and after eyelids

BLEPHAROPLASTY PHOTOS

Before & after patient photos

ptosis canthopexy photos upper eyelid blepharoplasty upper blepharoplasty before after photos quad blepharoplasty photos
transconjunctival blepharoplasty photos asian eyelid surgery eyelid surgery photos lower eyelid tissue-sparing photos
cheek lift before and after photos upper and lower blepharoplasty photos canthopexy chemical peel photos upper and lower blepharoplasty photos
lower blepharoplasty male photos blepharoplasty photos eyelid surgery definitions canthoplasty soof lift photos upper lower blepharoplasty before and after
blepharoplasty before and after upper blepharoplaty photos blepharoplasty photos upper blepharoplasty before and after
upper lower blepharplasty before after upper eyelid surgery before after severe upper eyelid before and after photos eyelid surgery photos
ptosis repair photos eyelid surgery before and after ptosis repair before and after photos direct brow lift photos
direct brow lift before and after brow lift photos in man eyelid surgery before and after midforehead lift photos
lower lid bags before and after blepharoplasty photos before and after massive lower lid bags photos upper blepharoplasty photos
eyelid surgery photos quad blepharoplasty photos canthoplasty lower eyelid surgery photos festoons before and after photos
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PART III

hollowed eyelids

AUGMENTATION
BLEPHAROPLASTY


VOLUME LOSS BASICS

- Overview
- Pertinent anatomy
- Preventable causes

- Orbital flat tire
- Doll's eye deformity

- Upper eyelid hollowness
- Lower eyelid hollowness
- Upper cheek hollowness


FAT TRANSFER OPTIONS

- Treatment overview

- Pearl fat grafting
- Strip fat grafting
-Combination pearl-strip grafting
- Small incision approach
- Not the same as fat injections

- Orbit-to-orbit fat transfer
- Internal orbital fat relocation
- Dermal fat grafts

- Fat injections


QUESTIONS & ANSWERS


- Orbital fat grafting tutorial


BEFORE AND AFTER PHOTOS

- Upper hollowness photos
- Lower hollowness photos
- Healing and recovery to 18 months


MISCELLANEOUS

- Under-eye hollows
- Treating dark circles
- Orbital hollowness & brow lift
- Hollowing in the Asian eyelid

- Dermal fillers
- Removal of grafted fat

- That tiny roll of upper eyelid skin:
It's not what you think
(video)

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PART IV

asian eyelids

ASIAN DOUBLE
EYELID SURGERY 101

Basics | Options | Photos | Healing
Complications | Fat Loss
Other | Adjuncts | Home


BASICS

- Overview: Why do it?
- "Asian" and "Occidental" defined

- Double eyelid surgery
- Is not a "blepharoplasty
"

- Eyelid features
- Anatomy
- Eyelid crease
- Epicanthal fold
- Premature hollowing
- Ten FAQs
- Related topics

- Stabilization of a variable crease
- Surgery for crease asymmetry
- Patients of mixed descent

- Surgery without crease creation
- Double eyelid surgery in men
- Epicanthoplasty

Back to Top

OPTIONS

- Incisional method
- Suture method
- Pros & cons of the incisional method
- Pros & cons of the suture method

- Preoperative preferences
- Age restrictions
- Best crease height & shape


PHOTOS

- Close-up | Two eyes | All angles

- Asian double eyelid operation
- Epicanthoplasty operation


HEALING

- Experiencing eyelid surgery
- Care after surgery
- Recovery
- The upper eyelid scar

- Healing in stages 1234
- Scar maturation
-
Healing after double eyelid surgery


RISKS AND REVISION

- Risks
- How precise are the results
- Revision of bad double eyelid surgery
- Consequences of fat removal

- Revision to treat multiple folds
- Revision to lower the crease
- Hollowness & ptosis after surgery
- Healing after revision surgery
- Restoration of eyelid With fat

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FAT LOSS

- Premature hollowing in the upper lid
- Surgical fat loss after surgery
- Options for upper hollowness
- Hollowness in the non-Asian eyelid

- Photos after fat grafting

- Fat preservation in
first-time eyelid surgery


OTHER CHALLENGES

- Ptosis correction - Basics
- Ptosis correction - Advanced

- Asian lower blepharoplasty


RELATED COSMETIC
FLOURISHES

- Asian brow/forehead lift
- Infrabrow upper blepharoplasty
- Lower eyelid epiblepharon repair
- Asian lateral canthoplasty
- Love band operation
- Asian slant reduction
- Eye-O-Plasty

- Permanent makeup
- Circle contact lenses
- Eyelid tape and glue

Back to Top

PART V

corrective eyelid surgery

CORRECTIVE EYELID
SURGERY 101


EYELID LUMPS AND BUMPS

- Benign eyelid growths
- Chalazion and sty
- Malignant eyelid growths


EYELID MALPOSITIONS

- Ectropion
- Entropion
- Eyelid retraction
- Ptosis
- Functional blepharoplasty

 

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BLEPHAROPLASTY 101
© Copyright 2000-2017
Frank Meronk, Jr., M.D.
All Rights Reserved