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Mark up for upper eyelid blepharoplasty Marking is always done in the sitting position. The lid crease is marked first from punctum to lateral canthus. If a crease is a present use that, otherwise if there are multiple creases use the one which is complete and at the correct height. Generally, lid crease is at 8-10mm from the lid margin in Caucasians and 5-7 mm from the margin in Asians. Make sure the crease is symmetrical on both sides. Medially, you should not extend the medial to punctum and laterally stay within the line joining the lateral canthus with the lateral end of the brow. If you have to excise more medially then go up at an angle of 15 degrees. Then the amount of skin to be excised is marked using the skin pinch technique. The skin is pinched with nontoothed forceps and the amount of skin to be excised is gauged. If there is a lot of lateral hooding I mark the lowest point where the eyelid fold falls. This is a trade-off for having the scar visible on the thicker skin laterally which is explained to the patient preoperatively. Make sure there is at least 20 mm skin between the lid margin and the lower end of the brow (be cautious in threaded brows) to enable eye closure. You can pinch the area to be excised and make sure the eye closes well after pinching. Generally, the scar heals well in the thin-skinned Caucasian population. However, it may be more visible in Asian eyelids. 0:00 Introduction 0:33 Blepharoplasty Markings 2:50 Extended upper blepharoplasty 3:11 Conclusion 4:10 Case Study -------- About Dr.Priti Udhay - DRR Face Aesthetics Hospital Dr.Priti Udhay is a premier eyelid and cosmetic surgeon with over 15 years of experience concentrated only around the eyes and face. When it is for your face, you'd rather rely on someone who does 'only' facial aesthetics! Dr. Priti Udhay has achieved top academic credentials right from graduating in medicine and surgery(MBBS) from Seth G S Medical College and KEM Hospital, Mumbai (one of the top medical colleges in India) to fellowship in oculoplastics from Sankara Nethralaya, Chennai. WhatsApp / Call: +91 97909 96255 Contact Us: http://drrfaceaesthetics.com/campaign... Visit DRR Face Aesthetics: 399 Trunk Road, Karyanchavdi, Poonamallee, Chennai - 600056