What is the Possibility of Scar Tissue Causing Lagopthalmos?

asked 1 year ago by 155151anon in Los Angeles, CA
Latest answer by William Portuese, MD
Question viewed 271 times
Tags: lagophthalmos, risk, scar tissue

Although I know this is a possibility of eyelid surgery, but I heard it is very rare and almost not possible unless a trauma other than surgery caused it. I know that the most common cause of lagophtalmos is excess skin removal which can be avoided in mot cases, but what are the chances that scar tissue could cause it, and how can it be avoided?

6 answers to What is the Possibility of Scar Tissue Causing Lagopthalmos?

Lagopthalmos due to scar tissue

The chance of lagophthalmos being caused by excess scar tissue is extremely remote. We have never seen it in over 20 years of private practice. It is also important not to take too much excess skin from the upper lids. Careful and meticulous surgical technique will prevent a lot of scar tissue, adhesions formation, and any lagophthalmos from occurring.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Lagophthalmos After Blepharoplasty

Over-resection of upper eyelid skin is the most common cause of permanent post-Blepharoplasty lagophthalmos. It is the Surgeon's responsibility to determine the appropriate amount of skin to resect while accounting for a certain degree of wound contracture that happens as part of the healing process.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Lagophthalmos

Lagophthalmos happens most commonly with removal of too much skin, but can happen with many other causes including chemosis, trauma, scarring, infection, to name a few.

Steven Wallach, MD
Manhattan Plastic Surgeon

Scar Tissue Causing Lagopthalmos

I agree with Dr. Steinsapir's statement but to answer the question as scar tissue causing this complication/condition, I would say very rare to see this as this primary cause. Seek additional opinions. From MIAMI, the "real" Dr. Darryl J. Blinski 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

Lagophthalmos can have a variety of causes

Lagophthalmos can have a variety of causes including surgery, trauma and certain orbital diseases. It is correct that in the setting of cosmetic eyelid surgery it is rare and excess skin removal is one of the causes. Unfortunately, no surgery is without complications and this is a known but rare complication of eyelid surgery that your surgeon will discuss with you at your consultation. Hope this helps

J. Timothy Heffernan, MD
Seattle Oculoplastic Surgeon

drtimheffernan.com

Bad thing can happen with even the best surgeries.

It is not accurate to say that it is almost not possible for lagophthalmos to occur from eyelid surgery unless too much skin is removed. Lagophthalmos means that the eyelids are not able to full close. Yes excessive skin removal can lead to lagophthalmos. However, perhaps a more common cause is weakness of the orbicularis oculi muscle in the upper eyelid after blepharoplasty due to damage to the nerves that supply the upper eyelid. While this type of complication is not... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

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