Is the transpalpebral approach to the upper and midface rejuvenation a safe method?
Henrique Cintra
Patient selection
The transpalpebral approach to periorbital rejuvenation is an option where a patient does not require a full face lift, but still has many of the aging signs that are not expected to be addressed by a standard blepha-roplasty. Patient selection is oriented by anatomic and functional findings related to the periorbital aging process and individual requirements. This procedure has a long recovery phase and patients cannot expect to resume their social activities until 3-4 weeks after surgery.
In removing upper lid skin excess, brow ptosis may worsen as this procedure creates more tension at this level, pulling it downward. An additional effect of skin resection and weight reduction on the upper eyelid is the relief of frontalis muscle spasm which maintains brow position. A precise diagnosis of the position and shape of the eyebrows as well as its dynamic changes is essential for the appropriate surgical indication and brow stabilization must be achieved to enhance upper blepharoplasty results.
Vertical glabellar rhytids are related to hyperactive corrugator muscles and may still be noticeable after