Lower eyelid blepharoplasty by the anterior approach. Prevention of complications.

Most complications in lower eyelid blepharoplasty by the anterior approach can be prevented if the surgeon has a thorough knowledge of the anatomy and physiology of the lower eyelid and anterior orbit, selects the proper procedure to correct the patient's specific problems, is meticulous in his technique, and provides appropriate postoperative management. Particular attention should be paid to hemostasis prior to wound closure and to avoiding postoperative ectropion or retraction of the lower eyelid.