Monday, November 26, 2012

Correction of Complication of Lower Blepharoplasty 2

This patient had lower lid blepharoplasty in a beauty saloon two year ago. She complains of dryness of the eyes and rounding of the lower eyelid contour. Examination shows the lower eyelid is tight from excessive skin removal. To restore the normal of the appearance of the eyelid, the skin needs to be replaced. However, the use of skin graft would not aesthetically satisfactory. I recruit the skin by performing disinsertion of the orbiculomalar ligament (see diagram below) and lift the lower eyelid skin by using orbicularis flap (see diagram below) to correct the roundings. 
Tightenss of the lower lid and rounding
of the lower lid contours.

Disinsertion of the orbiculomalar ligament.

Disinsertion of the orbiculomalar ligament to recruit
the skin and also to lift the lower lid.

Orbicularis flap is sutured to the orbital periosteum
to lift the lower eyelid.

The picture below was taken at one week after the operation
showing improvement of the retraction
and lower lid contour roundings.


  1. This comment has been removed by the author.

  2. Good day to you Prof,
    I'm a practising Aesthetic Physician in KL. I would like to have your personal opinion in certain matters. How do I contact you. Can I have your Hp No, perhaps? My email address is Thanking you in advance. Warmest regards, Dr. Jasmine

  3. To avoid the complications of blepharoplasty, a professional and qualified plastic surgeon is absolutely necessary. When I underwent a blepharoplasty procedure in Toronto last year, I also chose a reputable doctor. With his help, this surgery worked very well for me. Now, I have bigger and more beautiful eyes....