■ A thorough understanding of the eyelid anatomy is essential to both proper diagnosis and surgical planning.
■ During the evaluation of the patient considering upper lid blepharoplasty, the forehead should be assessed for ptosis. The surgeon should also evaluate the upper lid to rule out blepharoptosis.
■ Evaluation of both lower eyelid position and laxity is an essential component of the preoperative examination of the patient considering lower lid blepharoplasty.
■ During lower lid blepharoplasty, conservative resection of skin and muscle as well as suspension of the orbicularis oculi muscle to the periosteum of the lateral orbital rim will maintain proper lower lid position.
■ Dry eyes should be managed aggressively.