Revisional Eyelid Surgery: Treatment of Severe Postblepharoplasty Lower Eyelid Retraction

Pak, John; Putterman, Allen M.

doi:10.1016/j.fsc.2005.06.002

Cited by 17 publications

(8 citation statements)

References 22 publications

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“…More severe cases of lower eyelid retraction may also require a midface lift in addition to the abovedescribed procedures. [94][95][96][97][98][99]…”

Section: Management Of Lower Eyelid Retraction/ Lagophthalmosmentioning

confidence: 99%

Blepharoplasty Complications

Mack

2012

Facial plast Surg

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“…More severe cases of lower eyelid retraction may also require a midface lift in addition to the abovedescribed procedures. [94][95][96][97][98][99]…”

Section: Management Of Lower Eyelid Retraction/ Lagophthalmosmentioning

confidence: 99%

Blepharoplasty Complications

Mack

2012

Facial plast Surg

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“…Malpositioning of the lower eyelid is a complication that occurs in 2.7% to 16.6% of procedures, regardless of the type of surgical approach adopted [ 20 ]. Lower eyelid retraction occurs in 15% to 20% of lower eyelid blepharoplasty cases [ 21 22 23 ]. Various factors can cause lower eyelid retraction after surgery; these include inappropriate skin management, scar contraction (anterior lamella), horizontal laxity of the lower eyelid, and inflammation and scarring of the orbital septum (middle lamella) [ 20 24 25 ].…”

Section: Discussionmentioning

confidence: 99%

Causes and Surgical Outcomes of Lower Eyelid Retraction

Kim

Baek

Lee

et al. 2017

Korean J Ophthalmol

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PurposeTo investigate the causes of lower eyelid retraction and evaluate the outcomes of various surgical procedures.MethodsWe conducted a retrospective medical record review of patients who underwent lower eyelid retraction surgery performed by a single surgeon at Kim's Eye Hospital between 2006 and 2013. We investigated the causes of lower eyelid retraction, clinical history, characteristics, treatment, and surgical outcomes. Preoperative and postoperative margin reflex distance 2 and inferior scleral show were measured for each eyelid. Success was defined as a positive eyelid elevation and a decrease in inferior scleral show.ResultsA total of 19 lower eyelids were treated in 14 patients with lower eyelid retraction. For cosmetic reasons, surgical correction for congenital lower eyelid retraction was performed on seven eyelids (36.8%). Ten eyelids (52.6%) exhibited secondary lower eyelid retraction after surgery. One eyelid (5.3%) was affected by facial palsy and one eyelid (5.3%) exhibited exophthalmos of an unknown origin. We adopted a selective approach based on lower eyelid retraction severity. Spacer grafting via a subconjunctival approach was the most commonly performed surgical technique (13 eyelids, 68.4%). The lateral tarsal strip procedure was used to horizontally tighten three eyelids (15.8%). At the time of the procedure, one of these eyelids (5.3%) also received an adjuvant suborbicularis oculi fat lift. Autogenous dermis fat grafting was performed on two lower eyelids (10.5%), whose retraction was caused by fat and soft tissue loss. Cosmetic outcomes were satisfactory in all cases.ConclusionsTo achieve satisfactory surgical outcomes, surgeons should adopt an approach based on the severity of lower eyelid retraction. Mild lower eyelid retraction can be corrected without grafts. When retraction is severe and exceeds 2 mm, spacer grafts that push the lower eyelid margin upwards and support it from below are required.

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“…learn about these problems to understand the reasons for these complications that often happen inadvertently and many more inadvertently Being aware of these complications will make us better surgeons, especially if we can prevent or solve postoperative problems through the judicious use of medical judgment, since complications are not uncommon. We will not touch on congenital, traumatic, oncological or reconstructive problems, since those are a separate chapter [1][2][3][4][5][6][7][8][9]. Something that a patient will never forgive is the visible or noticeable asymmetry of their eyelids.…”

Section: Introductionmentioning

confidence: 99%