The versatile lid crease approach to upper eyelid margin rotation

Upper lid crease approach for margin rotation in trachomatous cicatricial entropion without external sutures.

PURPOSE To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. METHODS Surgical description: The main steps of the procedure consisted of exposure of the entire tarsal plate up to the eyelashes followed by tarsotomy through the conjunctiv...

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...

Upper eyelid rotation flap for reconstruction of medial canthal defects.

M edial canthal defects resulting from cancer resection after Mohs micrographic surgery present challenging reconstruction dilemmas. In fact, medial canthal reconstruction has been controversial because of the time-honored method of second-intention healing in wound management of this area. Yet, small flaps and grafts for repair of cutaneous medial canthal defects may result in a quicker healin...

normal eyelid crease landmarks in an iranian population

purpose: to measure the upper eyelid crease landmarks in an iranian population sample. methods: we studied 208 iranian subjects aged 30 to 50 years. upper eyelid crease height was measured in lateral, medial and central positions using calipers. levator function (lf) was also evaluated after exclusion of frontalis muscle function. results: mean age was 39.1±5.9 years and female to male ratio wa...