Bleeding in cosmetic blepharoplasty: an anatomical approach.

The complication of bleeding associated with cosmetic blepharoplasty was investigated by dissection of two fresh-frozen cadaver heads. The arteries were injected with Neoprene latex and dissection of the tissues encountered in blepharoplasty surgery was performed. From the study, three major components of the orbital and eyelid vascular system were felt to be important. These consisted of the individual tissue vascularity, the major arterial trunks in the region, and the connective tissue support of the arteries. Conclusions are reached regarding the prevention of bleeding associated with cosmetic blepharoplasty.