ABSTRACT
Although increasing mechanization, tools, and surgical fields are the recent general trend in surgery, in selected procedures it may be that simplification may actually enhance performance, shorten overall procedure times, and moderate costs. Potential complications in blepharoplasty surgery have been summarized elsewhere (1). In this chapter, we will discuss blepharoplasty techniques that require less surgical instrumentation and time; many are based upon the application of traction. Normally, only one ‘‘scrubbed’’ surgical assistant in association with an experienced surgeon is necessary to perform the techniques described here. However, the use of a second assistant during orbital fat removal may facilitate the performance of these procedures. Assistants are trained and directed not to place pressure on the globe for > 40 s without an intermission, so as not to compromise retinal blood flow.
