Friday, November 23, 2012

Correction of Complication of Lower Blepharoplasty

Lower eyelid retraction is a common complication of lower blepharoplasty. The main causes are either excessive lower lid skin removal or lower lid laxity.

This 65 year-old man presented with progressive lower lid retraction. He underwent lower blepharoplasty 3 years ago in a beauty saloon. The surgeon was an unlicensed personnel from oversea. He suffered from ocular irritation and recurrent watering eyes. Examination showed severe lower eyelid laxity without significant skin loss.
Severe lower eyelid retraction.

Lifting the corner of the eyelid restore the contour of
the lower eyelid. There was no skin shortage.
The procedure of choice for this complication is to tighten the lower eyelid as shown in the pictures below.
Steps showing tightening of the lower eyelid using
a procedure known as lateral tarsal strip.

The appearance of the lower eyelids 2 months

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