To the Editor.
—Reconstruction of the upper eyelid crease has become a popular adjunct to cosmetic blepharoplasty.1 It is used in patients who have a low, poorly defined, or duplicated crease. Reconstruction of a high upper eyelid crease is also helpful in the patient with potential dry eve syndrome because it requires less upper lid skin to be removed for the same cosmetic effect as would be obtained with excision of skin without crease reconstruction; therefore, it decreases lagophthalmos and the risk of exposure keratopathy.1The reconstruction of an upper eyelid crease must be discussed with the patient preoperatively. Although most patients find a high upper eyelid crease to be cosmetically appealing, there are some who strongly dislike its appearance. It is therefore advantageous to be able to demonstrate to patients preoperatively how they will look with crease reconstruction and to predetermine the desired level to reconstruct the
Putterman AM. Eyelid Creaser. Arch Ophthalmol. 1990;108(11):1518. doi:10.1001/archopht.1990.01070130020010