Nuances in ophthalmic plastic surgery. A dermatologic surgeon's perspective.

[BACKGROUND] Presented several nuances in the performance of cosmetic upper, lower, and lateral eyelid surgery.

[OBJECTIVE] To provide slight modifications in the performance of cosmetic upper and lower eyelid surgery that may be timesaving and outcome-enhancing. Lateral eyelid tightening is discussed. The expected outcomes and best candidates for surgery are also described.

[METHODS] Methods vary with the individual procedure. However, expertise in the traditional methods of cosmetic eyelid surgery is integral to success with the modified techniques.

[RESULTS] Results vary with the individual procedure, the surgeon's expectations, and the surgeon's interpretation of the patient's expectations, as well as other factors.

[CONCLUSION] Modifications of traditional cosmetic eyelid surgical procedures may benefit the patient following careful planning and technique execution.