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Transconjunctival Approach Blepharoplasty Workup

  • Author: Suzanne K Doud Galli, MD, PhD; Chief Editor: Arlen D Meyers, MD, MBA  more...
 
Updated: Feb 29, 2016
 

Laboratory Studies

Laboratory testing should be guided by the type of anesthetic used, the age of the patient, and the medical history.

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Other Tests

See the list below:

  • Visual acuity testing is mandatory prior to blepharoplasty because of the rare possibility of blindness, which can occur with any blepharoplasty technique.
  • Tearing adequacy can be confirmed with a Schirmer tear test, but its value is debatable.
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Contributor Information and Disclosures
Author

Suzanne K Doud Galli, MD, PhD Consulting Staff, Cosmetic Facial Surgery, Private Practice

Suzanne K Doud Galli, MD, PhD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons

Disclosure: Nothing to disclose.

Coauthor(s)

Philip J Miller, MD 

Philip J Miller, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American College of Surgeons, American Medical Association, Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Keith A LaFerriere, MD Clinical Professor, Fellowship Director, Department Otolaryngology-Head and Neck Surgery, University of Missouri-Columbia School of Medicine

Keith A LaFerriere, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, Missouri State Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan;RxRevu;SymbiaAllergySolutions<br/>Received income in an amount equal to or greater than $250 from: Symbia<br/>Received from Allergy Solutions, Inc for board membership; Received honoraria from RxRevu for chief medical editor; Received salary from Medvoy for founder and president; Received consulting fee from Corvectra for senior medical advisor; Received ownership interest from Cerescan for consulting; Received consulting fee from Essiahealth for advisor; Received consulting fee from Carespan for advisor; Received consulting fee from Covidien for consulting.

Additional Contributors

Jaime R Garza, MD, DDS, FACS Consulting Staff, Private Practice

Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, Texas Society of Plastic Surgeons

Disclosure: Received none from Allergan for speaking and teaching; Received none from LifeCell for consulting; Received grant/research funds from GID, Inc. for other.

References
  1. Drolet BC, Sullivan PK. Evidence-based medicine: Blepharoplasty. Plast Reconstr Surg. 2014 May. 133 (5):1195-205. [Medline].

  2. Pacella SJ, Nahai FR, Nahai F. Transconjunctival blepharoplasty for upper and lower eyelids. Plast Reconstr Surg. 2010 Jan. 125(1):384-92. [Medline].

  3. Tessier P. The conjunctival approach to the orbital floor and maxilla in congenital malformation and trauma. J Maxillofac Surg. 1973 Mar. 1(1):3-8. [Medline].

  4. Bourget J. Notre traitement chirurgical de "poches sous les yeuz" sans cicatrice. Archives Franco-Belges de Chirurgie. 1928. 31:133-137.

  5. Davison SP, Irio M, Oh C. Transconjunctival lower lid blepharoplasty with and without fat repositioning. Clin Plast Surg. 2015 Jan. 42 (1):51-6. [Medline].

  6. Undavia S, Briceno CA, Massry GG. Quantified Incision Placement for Postseptal Approach Transconjunctival Blepharoplasty. Ophthal Plast Reconstr Surg. 2015 Apr 20. [Medline].

  7. Segal KL, Patel P, Levine B, Lisman RD, Lelli GJ Jr. The Effect of Transconjunctival Blepharoplasty on Margin Reflex Distance 2. Aesthetic Plast Surg. 2015 Nov 4. [Medline].

  8. Collar RM, Lyford-Pike S, Byrne P. Algorithmic approach to lower lid blepharoplasty. Facial Plast Surg. 2013 Feb. 29(1):32-9. [Medline].

  9. Nassif PS. Lower blepharoplasty: transconjunctival fat repositioning. Facial Plast Surg Clin North Am. 2005 Nov. 13(4):553-9, vi. [Medline].

  10. Yoo DB, Peng GL, Massry GG. Transconjunctival lower blepharoplasty with fat repositioning: a retrospective comparison of transposing fat to the subperiosteal vs supraperiosteal planes. JAMA Facial Plast Surg. 2013 May. 15(3):176-81. [Medline].

  11. Youn S, Shin JI, Kim JT, Kim YH. Transconjunctival Subperiosteal Fat Reposition for Tear Trough Deformity: Pedicled Fat Redraping Versus Septal Reset. Ann Plast Surg. 2013 May. 30:[Medline].

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Preoperative photograph of the right eye.
Postoperative photograph of the right eye.
 
 
 
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