{'fraction_non_alphanumeric': 0.017720306513409962, 'fraction_numerical': 0.0019157088122605363, 'mean_word_length': 5.507788161993769, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Laser Blepharoplasty: Evaluation and Surgery

Blepharoplasty is defined by medical dictionaries as "any operation for the restoration of a defect in the eyelid." This is a broad description that could include procedures to repair ptosis, entropion, ectropion, or almost any possible eyelid defect. The term, however, has come to be more specifically associated with the elective surgical procedure of cosmetic repair in order to remove and reposition the soft tissues of the eyelids to rejuvenate the periocular region. Much has been written over the past 25 years about cosmetic blepharoplasty procedures and more recently C02 laser-assisted blepharoplasty.! Our purpose in writing this paper is to emphasize the blending of medical science with aesthetic appreciation, judgement, and the patient's objectives to obtain the desired excellent cosmetic result. Laser blepharoplasty and traditional "cold steel" blepharoplasty are orbital surgical procedures and should not be misconstrued as simple procedures. Those surgeons who have failed to recognize the intricacies of the orbital relationships of the anterior eyelid structures may subsequently have to attempt to cope with the challenges this can pose to the previously cosmetic patient. The periorbital region is one of the two most important barometers of facial aging. In this area the effects of genetics, sun damage, or smoking present themselves early on. Tissue changes including bony resorption, muscular relaxation, or hypertrophy, orbital fat prolapse, or selective atrophy of regional facial fat give the individual a tired, aged, and disapproving countenance. This false physical impression gives the individual daily concern in work and in familyand social interactions. Unacceptable results after cosmetic blepharoplasty are often the consequence of inadequate preoperative planning as well as a lack of familiarity with the underlying anatomy. The surgical planning phase should take at least one or more visits well before the surgical date. No evaluation is valid after preoperative sedation has been administered.i