[Difficult blepharoplasties]

Abstract

The effectiveness expected from aesthetic blepharoplasty is strongly related to the attention paid during the preoperative examination. The protocol as well as the proportioning of the surgical gesture are indeed likely to be influenced by the clinical assessment.

Objectives: To emphasize the significant points of the local and general examination that have to be raised in order to reduce the incidence of complications. The delicate situations are detailed and illustrated. The contribution of the complementary investigations and the various surgical strategies are evoked. In the second part are summarized the early and late complications of aesthetic blepharoplasties as well as their management if they could not be avoided.