The lateral tarsal strip mini-tarsorrhaphy procedure

Area of Science:

• Ophthalmology
• Plastic Surgery
• Facial Reconstructive Surgery

Background:

• Aging and gravity cause inferior displacement of the lateral canthus.
• Eyelid disorders can lead to lower eyelid or lateral canthal tendon laxity.
• The lateral tarsal strip procedure is a common surgical solution.

Purpose of the Study:

• To introduce a modified lateral tarsal strip procedure.
• To address upper eyelid overhang and eyelash imbrication associated with the standard procedure.
• To enhance functional and aesthetic outcomes in canthal repositioning.

Main Methods:

• Description of the lateral tarsal strip mini-tarsorrhaphy technique.
• Focus on careful suspension of the tarsal strip to the lateral orbital rim.
• Addressing preservation of the lateral canthal angle's almond shape.

Main Results:

• The modified technique effectively overcomes upper eyelid overhang.
• It prevents lower eyelid and eyelash imbrication.
• Excellent functional and aesthetic results are achieved.

Conclusions:

• The lateral tarsal strip mini-tarsorrhaphy is a valuable modification.
• It expands the versatility of the established lateral tarsal strip procedure.
• The technique offers improved outcomes for eyelid laxity and malposition.