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

  • John Pak


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, 2, 3, 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).
Figure 60.1

Bilateral lower eyelid cicatricial retraction.


Skin Graft Lower Eyelid Full Thickness Skin Graft Conjunctival Incision Lower Eyelid Margin 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • John Pak
    • 1
  1. 1.Department of OphthalmologyWheaton Eye ClinicWheatonUSA

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