Reyad, K., Abdelhalim, M., Talal, R. (2022). Revisiting Lateral Tarsal Strip Procedure for Correction of Late Lower Eyelid Malposition Following Lower Blepharoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), 15-19. doi: 10.21608/ejprs.2022.220425
Khaled A. Reyad; Mohamed M. Abdelhalim; Raghda E. Talal. "Revisiting Lateral Tarsal Strip Procedure for Correction of Late Lower Eyelid Malposition Following Lower Blepharoplasty". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 1, 2022, 15-19. doi: 10.21608/ejprs.2022.220425
Reyad, K., Abdelhalim, M., Talal, R. (2022). 'Revisiting Lateral Tarsal Strip Procedure for Correction of Late Lower Eyelid Malposition Following Lower Blepharoplasty', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(1), pp. 15-19. doi: 10.21608/ejprs.2022.220425
Reyad, K., Abdelhalim, M., Talal, R. Revisiting Lateral Tarsal Strip Procedure for Correction of Late Lower Eyelid Malposition Following Lower Blepharoplasty. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(1): 15-19. doi: 10.21608/ejprs.2022.220425
Revisiting Lateral Tarsal Strip Procedure for Correction of Late Lower Eyelid Malposition Following Lower Blepharoplasty
The Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Lower eyelid malposition is a common complication that is seen after lower eye lid blepharoplasty. Many options are available although, none is perfect. Many techniques tried to solve each lamellar defect separately. Others tried to recruit mid face skin through mid-face lifting to relieve any tension over the lower eyelid. Skin grafting may solve skin deficiency while tarsal plate deficiency may need cartilage graft or resuspension. Patients and Methods: Twelve patients suffering from lower eyelid malposition after lower blepharoplasty underwent lateral tarsal strip blepharoplasty with resuspension of the middle lamella of the lower eye lid to the periosteum of the lateral orbital wall and adheso-lysis of the lower eyelid. Results: Ten female and two male patients, with age range from 43 to 72 years, had ectropion four or more months after blepharoplasty. Full correction of the ectropion with long follow-up after lateral tarsal strip procedure. All the patients' problem were solved with early disappearance of eye irritation manifestation. All patients didn't suffer any relapse or scleral malposition or asymmetry after correction except for one patient who needed additional procedure. Conclusion: Lateral tarsal plate canthopexy is still a valuable option for correction of moderate to severe lower lid malposition following lower blepharoplasty. Offering more suspension, no need for skin graft.
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