Although these techniques may seem demanding in controlling
bleeding and avoiding use of
local anesthetic, they provide distinct advantages: (1) Morbidity of tissue staining and subsequent
ecchymosis is dramatically reduced. (2) Although
edema still occurs, additional resolution time for breakdown of
hemoglobin in the tissues is reduced, and the patient can resume normal activities with less camouflage makeup more rapidly. (3) Intraoperatively, lack of tissue staining and lack of distortion by local infiltration enable the surgeon to see anatomic structures, detail, and contour irregularities that are simply not visible or identifiable when infiltration has been performed, increasing both the accuracy and safety of the procedure. (4) Strict adherence to the principles of avoiding any dissection and of controlling
bleeding deep to the plane of the orbital septum avoids the most dangerous potential complications of
blepharoplasty while improving aesthetic results by avoiding overresection of soft-tissue components of the eyelids. (5) All of these techniques increase the accuracy, control, predictability, and safety of
blepharoplasty.