Prevention of eyelid retraction following lower blepharoplasty
De Riu, G.; Mommaerts, M.
Annales de Chirurgie Plastique et Esthetique 45(2): 110-118
2000
ISSN/ISBN: 0294-1260 PMID: 10863773 Document Number: 516952
This review covers the techniques used to prevent lid retraction after lower blepharoplasties. After a brief overview of the lower lid anatomy (anterior, middle, posterior lamella), the causes of blepharochalasis and of lid retraction are addressed. Clinical examinations are described that can detect a candidate at risk. Many preventive measures are discussed, examining patient positioning, approaches (transcutaneous, transconjunctival, combination), incision types, flap dissection (skin, skin-muscle, dermal flaps), suspension techniques (muscle-muscle, muscle-periosteum, horizontal wedge excisions, lateral and medial canthal procedures), CO2 laser resurfacing and combinations. These techniques are described and critically appraised.