Diagnosis and blepharoplastic repair of conformational eyelid defects

Blepharoplasty is a general term for surgery of the eyelid. This article re views the diagnosis and treatment of conformational defects of the eyelids, including entropion, ectropion, and macropalpebral fissure. Entropion can be repaired using many methods. It is ideal to select the simplest techniqu e that corrects the defect; but all complicating factors, such as nasal fol ds, macropalpebral fissure, brow wrinkles, and lateral canthal instability, must be considered. Ectropion requires surgical repair less often than doe s entropion.