Treatment of Postblepharoplasty Lower Eyelid Retraction with Dermis Fat Spacer Grafting

  • Bobby S. Korn
  • Don O. Kikkawa


Lower eyelid retraction is a potential complication following transcutaneous lower eyelid blepharoplasty. Several mechanisms contribute to postblepharoplasty eyelid retraction, including excess skin removal, exuberant scarring of the middle lamella, and unforeseen lower eyelid laxity. Several techniques have been described to treat postblepharoplasty eyelid retraction using a combination of mid-face lifting with or without posterior lamella spacer grafts. We described a new method of lower eyelid retraction using dermis fat as a posterior lamellar graft combined with mid-facial lifting.1,2


Ocular Surface Lower Eyelid Eyelid Retraction Lower Eyelid Retraction Frontozygomatic Suture 
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  1. 1.
    Kikkawa DO, Kim JW. Lower-eyelid blepharoplasty. Int Ophthalmol Clin 1997;37:163–178.CrossRefPubMedGoogle Scholar
  2. 2.
    Korn BS, Kikkawa DO, Cohen SR, Hartstein MO, Annuziata, CC. Tratment of lower eyelid malposition with dermis fat grafting. Ophthalmology 2008;115:744–751.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Bobby S. Korn
    • 1
  • Don O. Kikkawa
    • 2
  1. 1.San Diego School of Medicine, Shiley Eye Center, Department of Ophthalmology, Division of Oculofacial Plastic & Reconstructive SurgeryUniversity of CaliforniaLa JollaUSA
  2. 2.Department of OphthalmologyDivision of Oculofacial Plastic and Reconstructive Surgery, University of California, San DiegoLa JollaUSA

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