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Suspending sutures in blepharoplasty.

R C Webster, T M Davidson, E J Reardon

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |October 1, 1979
    PubMed
    Summary
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    Lateral canthopexy with permanent sutures effectively prevents lower eyelid complications after blepharoplasty. This technique, involving sutures to the lateral canthal tendon, further reduces issues like scleral show and eyelid displacement.

    Area of Science:

    • Ophthalmic plastic surgery
    • Facial cosmetic surgery

    Background:

    • Lower eyelid blepharoplasty can lead to complications such as scleral show and inferomedial displacement of the lateral canthus.
    • Flap suspension techniques are commonly used to prevent these issues by adjusting skin excision.
    • Additional measures may be needed to further mitigate these risks.

    Purpose of the Study:

    • To describe the technical aspects and outcomes of lateral canthopexy using permanent suspending sutures.
    • To evaluate the efficacy of this technique in preventing post-blepharoplasty lower eyelid complications.

    Main Methods:

    • Lateral canthopexy performed using permanent sutures to shorten the lateral canthal tendon.
    • Sutures placed from the inferomedial aspect to the superolateral aspect of the tendon.

    Related Experiment Videos

  • Anchoring sutures to the periosteum inside the orbit.

    • Main Results:

    • The technique helps prevent scleral show, upper lid sloping, and inferomedial displacement of the lateral canthus.
    • Clinical experience suggests it is a useful adjunct to standard blepharoplasty techniques.
    • Potential drawbacks include increased swelling, inflammation, and a longer recovery period.

    Conclusions:

    • Lateral canthopexy with permanent suspending sutures is an effective method to prevent common lower eyelid complications after blepharoplasty.
    • While generally successful, surgeons should be aware of the potential for increased swelling and a prolonged recuperative period.