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Feature Photo Essay . . .
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The Eyelid Owner's Manual
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Caution: Actual surgery photos
Tarsal Strip Resuspension
and Full-Thickness Lower Eyelid Skin Graft
Photographed from Start to Finish
Note: For details and discussion, refer to the
Insider's Guide to Blepharoplasty.
(Surgery performed by Frank Meronk, Jr., M.D.)
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This unfortunate patient presented with advanced lower eyelid retraction due to both skin and full-thickness eyelid shortage following a poorly-performed transcutaneous lower eyelid blepharoplasty.
The repair required providing new eyelid tissue and support by (1) grafting new skin obtained from a donor site located behind the patient's ear, and (2) reinforcing the eyelid's structural system by creating a "new" lateral canthal tendon (tarsal strip resuspension).
Please visit the links above for a more detailed description of these various procedures.
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1. Before
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2. Tarsal strip made, skin incised
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3. Strip attached to bone
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4. First wound closed
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5. Skin graft applied
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6. Dressing over graft
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7. Donor site behind ear
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8. Pressure patch
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9. Two months later
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Related: View results after upper eyelid skin graft
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