I have a lower bleph and skin pinch scheduled in December and will get it done subciliary meaning the incision will be on the outside, just under the eyelash instead of inside. I will be awake with local anesthetic. I was reading about subciliary being common reason for lower eyelid ectopion, or sagging of the lid, post op. This is because the surgeon has to cut through skin and muscle instead of just skin. How common is this post subciliary lower bleph? Is ectopion repairable without surgery?
October 31, 2023
Answer: Ectropion following lower eyelid surgery So you are actually giving two conflicting procedures. I suspect that your surgeons intentions are to perform a transconjunctival lower eyelid bleph with a skin pinch at the end. The risks of ectropion in these cases is less than 1% unless there is significant lower eyelid laxity, If the surgeon is cutting through the muscle then they are not performing a skin pinch, but a true lower lid skin muscle flap.
Helpful
October 31, 2023
Answer: Ectropion following lower eyelid surgery So you are actually giving two conflicting procedures. I suspect that your surgeons intentions are to perform a transconjunctival lower eyelid bleph with a skin pinch at the end. The risks of ectropion in these cases is less than 1% unless there is significant lower eyelid laxity, If the surgeon is cutting through the muscle then they are not performing a skin pinch, but a true lower lid skin muscle flap.
Helpful
October 31, 2023
Answer: Lower eyelid surgery In our practice for over 30 years, we remove all fat through the inside of the lower lid, which is the gold standard to prevent ectropion. If there's loose and extra skin present on the lower lids, then we make an incision just underneath the eyelashes only remove a small pinch of the skin itself. The reason for the incision on the inside, and the incision on the outside is to prevent any disruption of the lower eyelid muscle, which can cause an ectropion.
Helpful
October 31, 2023
Answer: Lower eyelid surgery In our practice for over 30 years, we remove all fat through the inside of the lower lid, which is the gold standard to prevent ectropion. If there's loose and extra skin present on the lower lids, then we make an incision just underneath the eyelashes only remove a small pinch of the skin itself. The reason for the incision on the inside, and the incision on the outside is to prevent any disruption of the lower eyelid muscle, which can cause an ectropion.
Helpful
