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Tarsal Strip Resuspension with
Full-Thickness Lower Eyelid Skin Graft

Actual surgery photos

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This 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).

1. Before

2. Tarsal strip made, skin incised to release tension 3. Strip attached to bone


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4. First wound closed 5. Skin graft applied 6. Dressing over graft
 



7. Donor site behind ear



8. Pressure patch



9. Two months later


Surgery by Frank Meronk, Jr., M.D.

 

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