A flap suspension technique in blepharoplasty on lower lids

Area of Science:

• Oculoplastic Surgery
• Facial Plastic Surgery

Background:

• Lower eyelid blepharoplasty commonly leads to complications such as lower lid retraction and inferomedial canthal dystopia.
• These complications negatively impact aesthetic outcomes and ocular function.

Purpose of the Study:

• To present a modified surgical technique for lower eyelid blepharoplasty designed to mitigate common postoperative complications.
• To describe an extended lateral incision approach to improve eyelid contour and prevent retraction.

Main Methods:

• A surgical technique involving an extended incision from the lower eyelid extending upward and laterally to the outer canthus was employed.
• The majority of tissue excision was performed in the lateral aspect of the lower eyelid.
• Closure technique was designed to create a superolateral vector of pull.

Main Results:

• The modified technique effectively repositioned the lateral canthus and minimized downward pull on the lower eyelid margin.
• Postoperative assessment indicated a significant reduction in the incidence of lower lid retraction compared to standard techniques.
• The superolateral vector of closure facilitated stable eyelid support.

Conclusions:

• Extending the lower eyelid blepharoplasty incision laterally is an effective modification to prevent common complications.
• This technique improves aesthetic results by maintaining eyelid position and preventing retraction.
• The described approach offers a reliable solution for managing lower eyelid contour and stability.