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February 1988

Blepharoplasties: A Method to Minimize Complications

Author Affiliations

New Orleans

Arch Otolaryngol Head Neck Surg. 1988;114(2):121. doi:10.1001/archotol.1988.01860140019006

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At the annual meeting of American Academy of Facial Plastic and Reconstructive Surgery in Chicago, Sept 19, 1987, Dr E. Gaylon McCollough, Birmingham, Ala, began his talk with the emphasis that one of our jobs as facial plastic surgeons is to avoid the operated-on look. In reference to blepharoplasty, the surgeon needs to fit the operation into the overall scheme to better enhance the patient's appearance. The cosmetic surgeon needs to avoid what Dr McCollough refers to as "surgical eyes," which consists of scleral show, the round eye, ectropion, unnatural contours, and scars. He stressed the importance of preserving the tarsofascial sling. To avoid distortion you must preserve the dynamic anatomy of the lower eyelid. His main emphasis in the presentation was to make the incision below the tarsal plate, which is 4 to 6 mm below the free margin of the lid. You split the muscle, carefully perform the

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