Upper blepharoplasty is one of the most commonly performed oculoplastic procedures (Video 12-9). Involutional skin and structural changes often begin in the periorbital area, and they can obstruct the superior visual field. Blepharoplasty is frequently performed to relieve this obstruction. Brow ptosis may also play a role and may need to be addressed. Functional indications for blepharoplasty are documented by means of external photography and visual field testing with and without manual eyelid elevation. Patients undergoing blepharoplasty for cosmetic reasons may have different expectations than those undergoing functional blepharoplasty. Thus, a thorough preoperative discussion of the anticipated results is critical to preoperative planning.
Upper blepharoplasty. Courtesy of Jill Foster, MD; Dan Straka, MD; and Craig Czyz, DO.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.