Adjunctive procedures to maximize the result of cosmetic eyelid surgery.

The cosmetic blepharoplasty should be complemented by surgical procedures that augment the favorable aesthetics of the blepharoplasty. A blepharoplasty is frequently not fully satisfying to the patient or the surgeon. The plastic surgeon must recognize the need for adjunctive procedures such as eyebrow lift, blepharocanthoplasty, malar implants, dermal abrasion, chemosurgery, and temporoauricular lift to fulfill the more ideal expectations of both surgeon and patient. Evaluation of the aesthetic requirements for youthful restoration around the eye and the need for additional surgical techniques to enhance the beauty of the eye is discussed. Included in the discussion are the techniques used for the various procedures, the complications that can arise, and the reward of surgery performed in conjunction with the routine blepharoplasty or instead of it.