Periorbital Facial Rejuvenation: Applied Anatomy and Pre-Operative Assessment

The document is a review that underscores the critical nature of preoperative assessments in periorbital facial rejuvenation, which includes procedures like brow-lifts and blepharoplasty. It details the necessity of understanding the anatomy of the eye and periocular area, including the orbicularis retaining ligament, fat pads, and the innervation and blood supply, to achieve optimal results and avoid complications. The review, based on a selection of 112 articles from an initial 254, does not involve a study with participants but rather compiles literature findings. It stresses the importance of evaluating static and dynamic aging changes, facial asymmetry, ocular health, and patient expectations, as well as the need for standardized documentation and psychological assessment. The paper also discusses the significance of recognizing conditions like dry eye syndrome, eyelid laxity, and lacrimal gland prolapse, and the use of tests such as Schirmer's test and eyelid-globe vector assessment to predict postoperative complications. The review advocates for a comprehensive preoperative evaluation to address both cosmetic and functional aspects, ensuring patient safety and satisfaction.