Anatomy is Queen
These two structures comprise the posterior lamella
What is tarsus + conjuctiva
Tarsal laxity can be assessed by this physical exam maneuver
You want to prevent overresection of this fat compartment to maintain good upper eyelid aesthetics
What is central compartment (primarily resect in nasal compartment)
This muscle is most commonly injured in blepharoplasty
What is inferior oblique muscle
This measurement assess ptosis
What is marginal reflex distance (distance from the margin of the upper eyelid to the light reflex on pt's cornea)
*Mild 1-2mm
*Moderate 2-3mm
*Severe >4mm
This is a confluence of the orbital septum with the periosteum at the orbital rim
What is arcus marginalis
A high supratarsal fold can be indicative of this condition, this is relevant for preop assessment
In an upper bleph, the lower aspect of the skin incision should be about 1mm below this landmark
What is the supratarsal crease
This is the most common complication after blepharoplasty
Blepharoplasty ranks this number in the top 5 most commonly performed aesthetic procedures in the US
What is 2nd
At the fornix, the levator muscle splits into a deep and a superficial layer. This is the name for this deep continuation of the levator muscle is
What is Mueller's muscle or superior tarsal muscle
A frontal crease on physical exam can be indicative of this condition, important to identify preoperatively
You don't want the medial aspect of your upper bleph incision to pass this landmark
What is the medial canthus
If one is not careful to maintain ethnic congruence in Asian eyelid blephs, you can have this type of supratarsal crease
What is a semilunar crease (vs a parallel crease which is more natural)
The levator aponeurosis in the upper lid corresponds to this structure in the lower lid
Capsulopalpebral fascia
The upper eyelid has this many orbital fat compartments and the lower eyelid has this many. (Must answer both correct). Bonus +100 if you name them.
What is two for the upper eyelid and three for the lower eyelid.
Upper: central & medial/nasal.
Lower: medial/nasal, central, and lateral
This surgeon bodypart can be helpful in determining the degree of fat herniation on physical exam
What is pinkynail
For lower bleph approaches, this approach decreases the risk of lid malposition
What is transconj approach
Overresection of the upper fat pads can cause this deformity
What is A-frame deformity
Postmenopausal women on HRT have a 70% higher risk for this type of complication after blepharoplasty
What is dry eye
The medial canthal portion of orbicularis oculi muscle is supplied by this branch of the facial nerve
What is buccal
*Extracanthal is supplied zygomatic
This is a name for attenuated orbicularis oculi muscle retaining ligaments, clinically relevant to identify as it won't be addressed with blepharoplasty alone.
+200 points if you can name the physical exam test to assess them
What are festoons
Squinch test!
This procedure describes a fat transfer from the medial orbital compartment to the tear trough to address tear trough deformities
What is Loeb procedure
This is the number of minutes it takes for a retrobulbar hematoma causing retinal artery occlusion to cause permanent vision loss
What is 100min
Lockwood's ligament in the upper eyelid corresponds to this ligament in the lower eyelid
What is Whitnall's