Anchoring lower eyelid subcutaneous to lateral orbital periosteum in improving blepharoplasty
Objectives: Although lower blepharoplasty is one of the most common requests from people in search of beauty, it is one of the most challenging techniques in the field of plastic surgery because it may be associated with subsequent complications so there is not be pleasant for the surgeon. Although a detailed study has not yet been performed, it may the significant rate of ectropion after lower blepharoplasty be related to lack of eyelid support so according to some theories, lateral cantopexy concomitant with blepharoplasty, decrease the incidence of this condition.
Introduction: Anchoring the subcutaneous tissue of the lower eyelid through a permanent suture to the periosteum outside the orbit can further increased the support of the lower eyelid, which is an innovative technique and the basis of this study.
Materials / method: The patients underwent lower blepharoplasty with percutaneous subciliary technique and then lateral cantopexy perform as fixation of the external retinaculum to the supralateral orbit periosteum. Subsequently, as a new technique, the subcutaneous tissue of the eyelid is anchored laterally to the lateral periosteum with non-absorbable suture
Results: Follow-up visits are performed after one week, one month and six months later. In these sessions, quality structures, including patient satisfaction, eyelid symmetry, crease status, lateral commissure status, visual acuity and possible complications, specially Ectropion is performed and finally the collected data will be analyzed.
Conclusion: Lower lid blepharoplasty is a critical surgery and prevention of complication such as sclra show and ectropion is very important and with this simple suture we could secure lower eye lid and reduce complication .