blepharoplasty 101 logo2
BLEPHAROPLASTY 101

Topic 30 - 3
Sample Revision:
Lower Eyelid Retraction Repair By Spacer Graft,
SOOF Lift, and Canthoplasty
lower eyelid collapse Risks & Revision lower skin shortage revision

Actual surgery photos


Patient had transcutaneous lower blepharoplasty complicated by eyelid retraction. Three failed attempts at repair by various surgeons over several years had worsened her condition to a severe state.


1. The lateral canthal tendon was released from the lateral bony rim and the lower eyelid was reflected downward. A transconjunctival incision was made on the back surface of the eyelid into its middle layers, and extensive scar tissue was removed. Tissue shortage in the middle and back eyelid layers was corrected by placement of a spacer graft (shown just prior to being sutured into the eyelid).


2. To add vertical support, the SOOF (sub orbicularis oculi fat) was lifted (top suture shown attached to the SOOF) and the lateral canthus was resuspended by lateral canthoplasty (bottom suture shown attached to the tarsal plate).


3. Sutures have been pulled towards their final positions to demonstrate the vertical lift on the eyelid and upper cheek just prior to being attached to the lining (periosteum) of the orbital bone.



Before


Three Months After

Note: The patient later underwent reinforcement of her canthoplasty to further enhance the result (not shown).

Next: Sample Revision:
Post-Blepharoplasty Skin Shortage


bleph 101 logo

The complete guide to
cosmetic surgery around the eyes



© Copyright 2000-2017 Frank Meronk, Jr.
All Rights Reserved

Disclaimer: Information, observations, and opinions are presented for general reference use only and do not constitute specific medical advice, diagnosis, or treatment. Base all decisions solely upon the recommendations of your own doctors. With each use of this website, you signify your review and full acceptance of our most current Terms of Use and Copyright Infringement Policy.