Jindal Kunaal, Sarcia Marc, Codner Mark A
Toronto, Ontario, Canada; St. Cloud, Minn.; and Atlanta, Ga. From private practice.
Plast Reconstr Surg. 2014 Dec;134(6):1154-1170. doi: 10.1097/PRS.0000000000000748.
Aesthetic eyelid surgery involves intricate techniques to improve the appearance of the periorbital region. In the presence of preoperative ptosis, lower lid laxity or malposition, prominent eyes, and xerophthalmia (dry eyes), patients are at an increased risk of developing postoperative complications such as scleral show, ectropion, corneal injury, and persistent ptosis.
The authors identify patients at increased risk for functional problems after blepharoplasty and describe detailed preoperative evaluation to identify patients who may be at increased risk prior to surgery.
In order to minimize the complications rates associated with blepharoplasty, it is of paramount importance to appreciate and address these functional concerns in the approach to blepharoplasty surgery.
After reading this article, the participant should be able to demonstrate a systematic approach to identify high-risk blepharoplasty patients and manage functional issues in both upper and lower blepharoplasty.
眼睑美容手术涉及复杂技术以改善眶周区域外观。存在术前上睑下垂、下睑松弛或错位、突眼以及干眼症（干眼）时，患者发生术后并发症如巩膜外露、睑外翻、角膜损伤和持续性上睑下垂的风险增加。
作者识别出睑成形术后功能问题风险增加的患者，并描述详细的术前评估以在手术前识别可能风险增加的患者。
为使睑成形术相关并发症发生率降至最低，在睑成形术手术方法中认识并解决这些功能问题至关重要。
阅读本文后，参与者应能够展示一种系统方法来识别高风险睑成形术患者，并处理上睑和下睑成形术中的功能问题。
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