RT Book, Section A1 Barnes, Christian H. A1 Maas, Corey S. A2 Lalwani, Anil K. SR Print(0) ID 1169082316 T1 Blepharoplasty T2 Current Diagnosis & Treatment Otolaryngology—Head and Neck Surgery, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9780071847643 LK accessmedicine.mhmedical.com/content.aspx?aid=1169082316 RD 2024/03/28 AB CLINICAL PEARLSAvoid over-resection of orbital fat, which will result in a hollow appearance around the eye. Take only the fat that protrudes with gentle globe pressure.Determine the underlying defect leading to the deformity—skin laxity, fat pseudoherniation, weakness of the orbicularis oculi, or multiple—to insure the culprit is addressed by your treatment.Limit skin resection in Asian blepharoplasty and create a new crease by suturing the skin to the underlying levator aponeurosis.Utilize soft-tissue fillers, fat grafting, neuromodulators, and skin resurfacing in addition to surgery when indicated to achieve patient’s goals for periocular rejuvenation.Maintain hemostasis during blepharoplasty to mitigate the risk of devastating postoperative orbital complications.