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Lacrimal Gland Prolapse: Management During Aesthetic Blepharoplasty: Review of the Literature and Case Reports

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Abstract

Prolapse of the lacrimal gland is an acquired clinical condition caused mainly by relaxation of the local suspending ligaments. Before an aesthetic blepharoplasty, there should be a preoperative clinical suspicion of lacrimal gland pathology for patients with bulging lateral thirds of the upper eyelids. It should be borne in mind that inadvertent removal of the lacrimal gland can lead to important alterations in ocular lubrication. This report describes two clinical cases of patients with lacrimal gland prolapse associated with dermatochalasis and their treatment.

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Authors and Affiliations

  1. Division of Plastic Surgery, Sao Paulo University Medical School, Sao Paulo, SP, Brazil

    Henri Friedhofer, Maurício Orel, Fábio Lopes Saito, Hélio Ricardo Nogueira Alves & Marcus Castro Ferreira

  2. Rua Mato Grosso, 306 cj. 716, Sao Paulo, SP, CEP 01239-040, Brazil

    Henri Friedhofer

  3. Rua Itacema, 292 apt, 100 Itaim Bibi, Sao Paulo, SP, CEP 04530-051, Brazil

    Maurício Orel

  4. Al. Casa Branca, 408 ap.94, Sao Paulo, SP, CEP 05410-000, Brazil

    Fábio Lopes Saito

  5. Alameda Jau, 310, ap 143a, Sao Paulo, SP, CEP 01420 000, Brazil

    Hélio Ricardo Nogueira Alves

  6. R. Barata Ribeiro, 483 16o.andar 161-162, Sao Paulo, SP, Brazil

    Marcus Castro Ferreira

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  1. Henri Friedhofer
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  2. Maurício Orel
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  3. Fábio Lopes Saito
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  4. Hélio Ricardo Nogueira Alves
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  5. Marcus Castro Ferreira
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Correspondence to Henri Friedhofer.

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Friedhofer, H., Orel, M., Saito, F.L. et al. Lacrimal Gland Prolapse: Management During Aesthetic Blepharoplasty: Review of the Literature and Case Reports. Aesth Plast Surg 33, 647–653 (2009). https://doi.org/10.1007/s00266-008-9222-y

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  • DOI: https://doi.org/10.1007/s00266-008-9222-y

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