— CLASSIC BLEPHAROPLASTY Dr. Hernawita, SpM(K) Departemen Mata FKUI-RSCM Jakarta Bye Center Classic Blepharoplasty v ‘Surgical procedure tha remove fat deposi excess tissue, of muscle from the eyelids to improve the appoarance of the eyes, Fara EYELID is frst area of | icsharat the face that wil change eharonkeny Drogressively due to ‘9ing & genetic Ui Tower inher ee , Functional Ccoumetic | [ Cosmetic Fol oom Pa EA Ba ‘Anatomy of the eyelid: + Skin and suboutancus tise + Protector muscle (Orbiculars ‘cal masle) + Orble speum Orbital fe + Retractor muscle (levator _muscle/capsulopalpebra {igamentum and muller snuscle/inferoe care muscle) + Tara plate + Conjunetiva ee '* Orbital Fati eee Relationship between Eyebrow and Eyelid Margi ‘+ The distance between lower eyebrow into skin crease is around 27 the distance between lower eyebrow to Superior eyelid margin > 10 mm ) «Nox Skin Crease Height Male = 58 mem + Female=78 mm —__| La Evaluation Pre operative 1. Anamnesis «patient problem ‘why the patient wants to do the surgery + a8k the patient about history of linesses, ‘medications and allergis. 2. Eyebrow examination od ‘Symmettic or asymmetic of the eyebrow + eyebrow ptosis : ithe distance from the central ‘upper eyelid margin to the central inferior brow ‘edge with the patient in primary position especialy in patient for cosmetic surgery Based on anamnesis and all examination uo ‘The surgeon can decide whether the patient is @ good candidate for the eyelid blepharoplasty or not | “Surges Tochnigue urgical Technique 1. Upper blepharoplasty ‘Indications DERMATOCHALASIS SINGLE EYELID |_ —_-—_—__ ‘* Anasthesia: + Local ( combination of idocaine + adrenalin) | Narcose, = Purpose: ‘+ Remove the skin and orbicularis muscle + Remove orbital fat + Perform lid crease Upper eyed blepharoplasty procedure: | UPPER BLEPHAROPLASTYe Y Se Dypane wie” caused by mea contacto (upper ace) ‘bot njscton + Adynami winks: caused by skin loosest lastoty (wor ace > Filrnacon + Surace tte and calor charge > Chemical pelng laser rewscng ‘Transcutaneus of lower eyelid blepharoplasty i A A + Marking the skin * Instling local anasthesia ‘+ Making skin incision + Dissactng askin, muscle flapPost operative Care + le cold compress tothe eyelid ‘= The application should bo constant: 2 hours post operatively ter that > applied 20 minute with 10-15 minutes rest period in between untl bedtime ‘ Pationt les in bed with head about 45 degrees, higher than the rst of the body Complications of Blepharoplasty UPPER LowER = Bindness = Blindness Eppnora + Lower eyolt retraction + Lagophtainos + Eatropion + Prosi * Epipnora + Asimety Lid Crease + Lagophthalmos How to avoid complications? ‘Evaluation of the patient carefully before surgery ‘Knowing of anatomy and physiology of the eyelid and orbita Choosing of the technique operation appropriately ‘Capable of doing the operation correctly + Dipopia ‘Check bleoding * Chematie ofthe + Antibiot and ant inflamation oral conjunctiva | $$ . — THANK YOU