Which of the following combined procedures is most appropriate:
Aggressive midface lift with minimal lower blepharoplasty excision.
Aggressive midface lift with aggressive lower blepharoplasty excision.
Brow lift first followed by upper blepharoplasty.
Upper blepharoplasty first followed by brow lift.
a. 1, 2 and 3 are correct b. 1 and 3 are correct c. 2 and 4 are correct d. 4 only is correct e. None is correct
Correct Answer is B
1 and 3 are correct. Aggressive lower blepharoplasty excision is associated with damage to the structural integrity of the lower lid (and can cause a hollowed out appearance), lower eyelid malposition, dry eyes and/or ectropion. Brow lift may influence the outcome of upper blepharoplasty and thus should be done prior.