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How I do it: lateral canthal web revision-single Z-plasty technique
1Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, St Joseph's Healthcare Centre, Western University, 268 Grosvenor St, London, ON, N6A 4V2, Canada.
Summary
A Z-plasty technique effectively corrects lateral canthal webs, a common complication after blepharoplasty surgery. This simple revision procedure significantly improves patient satisfaction and eliminates the need for further surgery.
Area of Science:
- Oculoplastic surgery
- Cosmetic surgery
- Reconstructive surgery
Background:
- Lateral canthal webbing is a recognized complication of blepharoplasty.
- This occurs when the lateral incision extends below the canthus or excessive skin is removed.
- No standardized treatment currently exists for this condition.
Purpose of the Study:
- To evaluate the efficacy of a single Z-plasty technique for correcting lateral canthal webs.
- To assess patient outcomes following revision surgery for blepharoplasty-induced complications.
Main Methods:
- Retrospective review of 23 patients undergoing revision surgery between 2011 and 2019.
- All patients were treated using a single Z-plasty technique by a single surgeon.
- Patients had prior upper eyelid blepharoplasty procedures.
Main Results:
- Twenty-three patients with lateral canthal webs post-blepharoplasty were included.
- Revision surgery using the Z-plasty technique resulted in high patient satisfaction.
- No patients required additional revision surgery after the Z-plasty procedure.
Conclusions:
- The single Z-plasty technique offers a simple and effective solution for lateral canthal webs.
- This method is robust and easily integrated into cosmetic surgical practices.
- It addresses a common blepharoplasty complication with high success rates.
