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Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction

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Pearls and Pitfalls in Cosmetic Oculoplastic Surgery

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Abstract

One challenging and potentially disfiguring postoperative complication associated with lower eyelid blepharoplasty is lower eyelid retraction, defined as a downward malposition of the lower eyelid margin. Severe postblepharoplasty lower eyelid retraction has been reported in up to 20% of cases.1–4 In severe lower eyelid retraction, cicatricial attachments develop between the anterior lamella of the lower eyelid to the inferior orbital rim (Figure 60.1).

Bilateral lower eyelid cicatricial retraction.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Wheaton Eye Clinic, Wheaton, IL, USA

    John Pak MD, PhD (Oculoplastic Surgeon)

Authors
  1. John Pak MD, PhD
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Editor information

Editors and Affiliations

  1. Department of Ophthalmology and Division of Plastic and Reconstructive Surgery, Saint Louis University, St. Louis, MO, USA

    Morris E. Hartstein MD, FACS (Clinical Associate Professor) (Clinical Associate Professor)

  2. Departments of Ophthalmology and Otolaryngology-Head and Neck Surgery, Saint Louis University, St. Louis, MO, USA

    John B. Holds MD, FACS (Clinical Professor) (Clinical Professor)

  3. Ophthalmic Plastic and Reconstructive Surgery, American Eye Institute, Cedars Sinai Medical Center, Los Angeles, CA

    Guy G. Massry MD (Director) (Director)

  4. Spalding Dr. Cosmetic Surgery and Dermatology, Beverly Hills, CA

    Guy G. Massry MD (Director) (Director)

  5. Davidorf Eye Group, West Hills, CA, USA

    Guy G. Massry MD (Director) (Director)

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Pak, J. (2008). Mid-Lower Eyelid Tarsoconjunctival Flap-Skin Graft: Treatment of Cicatricial Lower Lid Retraction. In: Hartstein, M.E., Holds, J.B., Massry, G.G. (eds) Pearls and Pitfalls in Cosmetic Oculoplastic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69007-0_60

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  • DOI: https://doi.org/10.1007/978-0-387-69007-0_60

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-25389-3

  • Online ISBN: 978-0-387-69007-0

  • eBook Packages: MedicineMedicine (R0)

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