Upper and Lower Blepharoplasty

Learning goal

Prepare for Day 2: aesthetic eyelid surgery with functional awareness.

Read before Day 2

  • Upper eyelid blepharoplasty planning.

  • Lower eyelid blepharoplasty approaches.

  • Fat compartment anatomy.

  • Prevention of lower eyelid malposition.

  • Complications of blepharoplasty.

Focus points

  • Preoperative marking logic

  • Lid crease position

  • Skin-only vs skin-muscle flap concepts

  • Orbital fat management

  • Lower lid support

  • Symmetry and conservative tissue removal

Recommended reference

Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

Blepharoplasty Explained: Upper and Lower Eyelid Surgery Benefits - Christopher I. Zoumalan, MD FACS

Why watch this
This is a concise overview video that clearly separates upper eyelid blepharoplasty from lower eyelid surgery. It is useful before the hands-on session because it frames the main indications: excess upper lid skin, eye fatigue, visual field concerns, lower eyelid fat pockets, hollowing and dark circles.

Best use in the course
Use this as the first introductory video before the Day 2 aesthetic eyelid block.

Watch for

  • Difference between upper and lower blepharoplasty

  • Functional vs aesthetic indications

  • Upper eyelid skin excess

  • Lower eyelid fat pockets

  • Under-eye hollowing

  • Expected result language

Eyelid Surgery Explained: Upper and Lower Lids - New York Plastic Surgical Group / Tommaso Addona, MD FACS

Why watch this
This is the strongest general preparation video I found for the course context. It discusses anatomy, patient selection, upper versus lower lid differences, incision choices, anesthesia, recovery and complications. It is more useful for professional preparation than a purely cosmetic before-and-after video.

Best use in the course
Use this as the main required blepharoplasty preparation video for Day 2.

Watch for

  • Eyelid anatomy: skin, orbicularis, tarsal plate, septum and fat pads

  • Difference between upper and lower lid surgical planning

  • Upper lid crease incision

  • Lower lid subciliary vs transconjunctival access

  • Conservative lower lid skin management

  • Dry eye and complication awareness

What is Transconjunctival Lower Blepharoplasty? - Amiya Prasad, MD

Why watch this
This video is helpful because it focuses specifically on lower eyelid approach selection. It explains why a transconjunctival approach can be useful for lower lid fat bags and why lower lid support and external skin excision must be considered carefully.

Best use in the course
Use this as an optional but recommended lower-lid preparation video before the lower blepharoplasty hands-on block.

Watch for

  • Transconjunctival approach

  • Lower eyelid fat bags

  • Avoiding external lower lid incision when appropriate

  • Difference between fat removal and skin treatment

  • Risk logic around lower lid malposition

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Corneal Sutures and Traumatic Wound Closure

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Entropion, Ectropion and Lateral Canthal Support