Meronk Eyelid Plastic Surgery


The Eyelid Owner's Manual

Photo Essay

Caution: Actual surgery photos
 


Lower Eyelid Retraction Repair
Employing Alloderm Spacer Graft, SOOF Lift,
and Canthoplasty

(Surgery performed by Dr. Frank Meronk)
BEFORE
Patient had previous transcutaneous lower blepharoplasty elsewhere complicated by eyelid retraction. Three previous failed attempts at repair by other surgeons over several years had worsened her condition to a severe state.

(Note: The anatomical structures mentioned below are illustrated here and described in more detail here.)


REPAIR
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 an Alloderm decellularized tissue matrix 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 tarsal strip resuspenison 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 a slight reinforcement of her tarsal strip resuspension to further enhance the result shown above (not photographed).

 

Blepharoplasty
Introduction to cosmetic
eye surgery with FAQs
The Case Studies
Video presentations
narrated by Dr. Meronk
blepharoplasty guide - eyelid surgery resource
Eyelid Surgery Photos
Before-and-after patient
photos
Asian Eyelid Surgery
Resource
Double eyelid surgery
Operations Step-by-Step
Cosmetic blepharoplasty
shown start to finish
Eyelid QuickNotes
In a hurry? Summaries and
lists that cut to the point
 blepharoplasty news - eyelid surgery reference
Revisional Blepharoplasty
Unsatisfactory results after
cosmetic eye surgery
Blepharoplasty A to Z
Glossary of cosmetic
eye surgery terms
Eyelid Owner's Manual
Articles on eyelid care
and maintenance
The Hollowed Eyelid
Solutions for upper and
lower fat hollowness
Healing and Recovery
Before and after upper
and lower blepharoplasty
Anatomy of the Eyelids
Picture atlas of eyelid
and facial anatomy
iConsultation
A time-saving option
for new patient contact

More

The Doctor | Subspecialty | Our Office | Contact Us
Patient Comments | Fees | Site Map | Live Far Away?

© 2000-2008 Frank Meronk, Jr., M.D.
All Rights Reserved

Cosmetic Eyelid Plastic Surgery - Home

Disclaimer: Information, observations, and opinions are offered for general reference only and should not be misconstrued as medical advice. Base all medical decisions solely upon the recommendations of your doctors. Access is provided subject to our full Terms of Use.