Prevention of Lower Eyelid Ectropion Using Noninsional Suspension Sutures after Blepharoplasty

Prevention of lower eyelid malposition after blepharoplasty: anatomic and technical considerations of the inside-out blepharoplasty.

OBJECTIVE To determine the position of the lower eyelid and lateral canthus after release of the lower eyelid retractors with the "inside-out technique" by measuring the marginal reflex distance 2 (MRD2) and using the lateral canthal rounding scale. DESIGN Retrospective analysis. RESULTS Of the 171 patients who underwent inside-out blepharoplasty, 78 were followed up for 3 months. Preoperat...

Lower Eyelid Blepharoplasty

In no other area of facial aesthetic surgery is such a fragile balance struck between form and function as that in eyelid modification. Owing to the delicate nature of eyelid structural composition and the vital role the eyelids serve in protecting the visual system, iatrogenic alterations in eyelid anatomy must be made with care, precision, and thoughtful consideration of existing soft tissue ...

Lower Eyelid Pinch Blepharoplasty

Upper eyelid approach to lower eyelid blepharoplasty.

IDEAS AND INNOVATIONS Upper Eyelid Approach to Lower Eyelid Blepharoplasty

Transcutaneous lower blepharoplasty addresses excess skin, muscle, and fat through an infraciliary cutaneous incision. This approach offers excellent exposure to the fat pads; however, violation of the orbital septum may result in postoperative lower eyelid retraction, with resultant aesthetic disfigurement as well as exposure keratoconjunctivitis.1 The transconjunctival approach to lower bleph...