Blepharoplasty High-Yield Principles

Blepharoplasty looks simple—but it’s one of the easiest ways to create devastating complications if you don’t respect the anatomy. This episode breaks down the high-yield principles of modern blepharoplasty, focusing on what actually prevents bad outcomes: proper evaluation, conservative technique, and understanding lid support. We cover upper and lower lid strategy, when to preserve vs remove fat, and how to avoid classic complications like ectropion, scleral show, and retrobulbar hematoma. Evaluation is everything: vector analysis, lid laxity, and Schirmer’s test predict complications Volume preservation > aggressive excision to avoid hollow “A-frame” deformity Lower lid support is critical: canthopexy/canthoplasty reduces malposition risk Orbitomalar ligament release + fat redraping improves lid–cheek junction Retrobulbar hematoma = emergency → immediate canthotomy/cantholysis Transconjunctival approach preferred in select patients to minimize complications 🎧 Full episodes available now: Instagram: https://www.instagram.com/plasticsinpractice/ Spotify: https://open.spotify.com/show/4Ct8jOgYXP9QJin7QOuG3Z?si=JNcBxQmwT2mfz1LSJZEFKA Apple: https://podcasts.apple.com/us/podcast/plastics-in-practice-resident-review/id1835564216 YouTube: https://youtube.com/@plasticsinpractice?si=tqLInp5vvsJFKlRO Amazon: https://music.amazon.com/podcasts/8bef056e-7c87-4224-978e-7e691b04554a/ 📘 Free Study Guides: → https://drive.google.com/drive/u/0/folders/12BUldPbCmihG-ndZh6992WqhRYyxw8ZZ Codner MA, Burke RM. Blepharoplasty. In: Plastic Surgery Text. Comprehensive Analysis of Modern Blepharoplasty. Disclaimer: This content is for educational purposes only and is not medical advice. #PlasticSurgery #Blepharoplasty #Aesthetics #SurgicalPearls #PRS #Residency #Oculoplastics #FacialRejuvenation