Transconjunctival Approach Blepharoplasty Workup

  • Author: Suzanne K Doud Galli, MD; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Feb 28, 2012
 

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

  • 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, FACS, Consulting Staff, Cosmetic Facial Surgery, Private Practice

Suzanne K Doud Galli, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Rhinologic Society, and Triological Society

Disclosure: Nothing to disclose.

Coauthor(s)

Philip J Miller, MD, FACS  Assistant Professor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York University School of Medicine

Philip J Miller, MD, FACS 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, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

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, and Texas Society of Plastic Surgeons

Disclosure: Nothing to disclose.

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

Disclosure: Medscape Salary Employment

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, and Missouri State Medical Association

Disclosure: Nothing to disclose.

Christopher L Slack, MD  Private Practice in Otolaryngology and Facial Plastic Surgery, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders

Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American 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, and American Head and Neck Society

Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation Unrestricted gift Unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Medvoy Ownership interest Management position; Cerescan Imaging Consulting; Headwatersmb Consulting fee Consulting; Venturequest Royalty Consulting

References

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

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

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

  4. Asken S. The preseptal and the retroseptal approaches in transconjunctival blepharoplasty. J Dermatol Surg Oncol. Dec 1992;18(12):1110-6. [Medline].

  5. Dodenhoff TG. Transconjunctival blepharoplasty: further applications and adjuncts. Aesthetic Plast Surg. Nov-Dec 1995;19(6):511-7. [Medline].

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  9. Gilbert SE. Transconjunctival blepharoplasty with chemoexfoliation. Ann Plast Surg. Jul 1996;37(1):24-9. [Medline].

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  11. Goldberg RA, Lessner AM, Shorr N, et al. The transconjunctival approach to the orbital floor and orbital fat. A prospective study. Ophthal Plast Reconstr Surg. 1990;6(4):241-6. [Medline].

  12. Gubisch W. [The value of various techniques for esthetic correction of the lower eyelid]. Handchir Mikrochir Plast Chir. Mar 1999;31(2):113-20. [Medline].

  13. Holt JE, Holt GR. Blepharoplasty. Indications and preoperative assessment. Arch Otolaryngol. Jun 1985;111(6):394-7. [Medline].

  14. Kikkawa DO, Kim JW. Lower-eyelid blepharoplasty. Int Ophthalmol Clin. Summer 1997;37(3):163-78. [Medline].

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

  16. Palmer FR 3rd, Rice DH, Churukian MM. Transconjunctival blepharoplasty. Complications and their avoidance: a retrospective analysis and review of the literature. Arch Otolaryngol Head Neck Surg. Sep 1993;119(9):993-9. [Medline].

  17. Soll SM, Lisman RD, Charles NC, et al. Pyogenic granuloma after transconjunctival blepharoplasty: a case report. Ophthal Plast Reconstr Surg. Dec 1993;9(4):298-301. [Medline].

  18. Tebbetts JB. Blepharoplasty. A refined technique emphasizing accuracy and control. Clin Plast Surg. Apr 1992;19(2):329-49. [Medline].

  19. Yousif NJ, Sonderman P, Dzwierzynski WW, et al. Anatomic considerations in transconjunctival blepharoplasty. Plast Reconstr Surg. Nov 1995;96(6):1271-6; discussion 1277-8. [Medline].

  20. Zarem HA, Resnick JI. Expanded applications for transconjunctival lower lid blepharoplasty. Plast Reconstr Surg. Aug 1991;88(2):215-20; discussion 221. [Medline].

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