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Abstract Dermatochalasis and herniated orbital fat are the most common signs of the aging process that originated around the eyes. These changes can give the appearance of “tired or sad” looking. It also may cause impairment of the superior and/or lateral visual field of the patient. Blepharoplasty commonly refers to the excision of excessive eyelid skin with or without the excision of orbital fat for either functional or cosmetic indications; however, the cosmetic reasons are the most common indication for performing blepharoplasty nowadays. Careful physical and ophthalmic preoperative evaluation is mandatory in all patients undergoing blepharoplasty, because it helps the surgeon to avoid the predictable complications and also enable him to perform an operative strategy for each patient. Pre and postoperative photographing are also of extreme importance for both patient and surgeon because it provides a record of both functional and aesthetic changes following the operation. |