Management of the Post-lower Eyelid Blepharoplasty Retracted Eyelid

  • Dan GeorgescuEmail author
  • Geeta Belsare
  • John D. McCann
  • Richard L. Anderson


Lower eyelid retraction is a feared complication of blepharoplasty surgery with both functional and cosmetic consequences such as exposure keratopathy, irritated eyes, blurry vision, lateral canthal dystopia, round eye, and sclera show. Lower eyelid retraction occurs when the blepharoplasty surgery removes too much tissue from the lower eyelid, the lower eyelid tissue contracts with scarring, or the orbicularis oculi muscle tone becomes weakened by the procedure. In many cases, the patient does not develop exposure symptoms until years after the procedure, when gravity causes the midface to sag and the tear film becomes inadequate. Depending on the pathophysiological mechanism involved, surgical correction may involve horizontal tightening of the lower eyelid, pre- or subperiosteal midface lift, and/or posterior lamellar grafting. For the most severe cases, full thickness skin grafting becomes necessary. The goal of eyelid reconstruction in patients presenting with eyelid retraction after blepharoplasty surgery is to restore the position, the function, and the appearance of the lower eyelid to a level that is at least as good, if not better, than the preblepharoplasty level.


Lower Eyelid Orbicularis Oculus Eyelid Retraction Orbital Septum Posterior Lamella 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Dan Georgescu
    • 1
    Email author
  • Geeta Belsare
    • 2
  • John D. McCann
    • 3
  • Richard L. Anderson
    • 3
  1. 1.Wilmer Eye InstituteJohns Hopkins Medical CenterBaltimoreUSA
  2. 2.Department of OphthalmologyLoyola University Medical Center, Stritch School of MedicineMaywoodUSA
  3. 3.Center for Facial AppearancesSalt Lake CityUSA

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