Keys to success when marking the skin in upper blepharoplasty

Abstract

It is critical to maintain symmetry in the height, depth, and fold of the eyelid crease, which is paramount in the success of the upper blepharoplasty. We avoid medial webbing by drawing a gentle upturn to the medial incision markings. Laterally we extend the markings to approximately 5 mm above the lateral canthus, then upturn to hide the lateral incision and to avoid elevation of the temporal eyelid crease.