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Extensive lower eyelid pigment spread after blepharopigmentation.
1Department of Ophthalmology, University of California, Irvine 92612, USA.
Ophthalmic Plastic and Reconstructive Surgery
|December 10, 1999
Summary
Extensive pigment spread after blepharopigmentation (eyelid cosmetic tattooing) in an 81-year-old woman necessitated surgical correction. This case highlights the potential need for significant reconstructive procedures following eyelid tattooing complications.
Area of Science:
- Ophthalmology
- Dermatology
- Cosmetic Procedures
Background:
- Blepharopigmentation, or cosmetic tattooing of the eyelids, is a procedure performed to enhance appearance.
- Complications, though rare, can occur and may require significant intervention.
Observation:
- An 81-year-old woman experienced immediate and extensive pigment dispersion from the right lower eyelid lash line to the nasojugal fold after blepharopigmentation.
- The cosmetic tattoo pigment spread across a wide surface area, rendering nonsurgical treatments ineffective.
Findings:
- Surgical excision and reconstruction using a lateral canthal suspension and full-thickness skin grafts were required to address the extensive pigment spread.
- Pathologic examination confirmed pigment infiltration into all skin layers and the orbicularis muscle surface.
Implications:
- This case underscores the potential for severe pigment migration following blepharopigmentation.
- Extensive reconstructive surgery may be necessary to manage significant pigment dispersion, emphasizing the importance of precise technique in cosmetic eyelid tattooing.