[Plastic surgery treatment of blepharochalasia with ptosis].

Ptosiform blepharochalasis is not only an esthetic but also a functional problem for the elderly patient. In clinical terms there is an extension of the lid skin over upper-lid margin, a relaxation of the orbicularis muscle and a large amount of periorbital fat. The operation involves resection of the excess skin by an elliptical excision, shortening of the orbicularis muscle, and resection of the fat pads from two compartments. Postoperatively there is only edema, but no pain, which is important for the elderly.