Blepharoplasty surgical

If surgical blepharoplasty is not combined with a facelift, Lip Eyelid formula can be applied on the eyelids at the same time as the face-lift. 

On the eyelids, however, the fat hernia around the orbit was removed through the transconjunctival approach and combined - in expert hands - successfully and safely with a local phenol peel. McCollough and Maloney combined surgical blepharoplasty with a phenol peel, but left the skin to rest for 3 months before doing the eyelid peel. 

Typical abnormalities of the upper eyelid after several surgical blepharoplasties. 

A full face deep peel should not be done at the same time as a face-lift however, it is possible to do a chemical cheiloplasty or a chemical blepharoplasty at the same time as a surgical face-lift, for example. 

Surgical treatment it is in fact the most common complication after surgical blepharoplasty. Particular care should be taken when doing a peel if the patient has a history of blepharoplasty and even more so in cases of multiple blepharoplasties. Patients with lagophthahnia should in principle be ruled out from deep peels, although some cases can be treated cautiously. 

The high risk of focal or widespread facial necrosis contraindicates a phenol peel immediately after a face-lift. If a face-lift and a deep peel have to be combined, the surgical face-lift must be done first and the chemical peel afterwards to avoid the demarcation line being surgically lifted to the cheek. Caution usually dictates a gap of 6 months between a surgical face-lift and a deep peel. It is of course possible to perform a face-lift without blepharoplasty and a phenol peel around the mouth and eyelids at the same time... 

Deep peeling can be performed on the eyelids to improve periorbital pigmentation or wrinkling or as an adjunct procedure to surgical blepharoplasty [18]. 

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