I was told by a surgeon that transcutaneous or lower Blepharoplasty often causes retraction/ectropion in most cases. If that is true, can laser resurfacing of the lower lid with the transconjunctival approach suffice to produce the most aesthetically pleasing result?
July 9, 2015
Answer: Eye lid Laser and Blepharoplasty can be performed safely While transcutaneous lower eye lid Blepharoplasty can cause retraction/ectropian of the lower eyelid, this is rare if performed properly and in patients who are good candidates for the procedure. There are several techniques for correcting the eyelids. Some surgical approaches are internal, (the transconjunctival approach) or external (transcutaneous). When I see a patient with very little excess eyelid skin, good lid support, some fine "crepe paper" wrinkles in the skin and some fat pocket bulges, I often recommend a transconjuntival Blepharoplasty and laser resurfacing of the lower eye lid skin. On the other hand, if a patient has excess skin and/or poor lid support an external approach may be required. With this technique, the lower eyelid can be supported with a canthopexy to prevent lid retraction and the excess skin can removed. As you can see, the proper choice for you depends upon your specific condition. Consult with a physician who has a good reputation and is experienced in eyelid surgery. Make sure your doctor explains the different options and that procedure is the best for your particular case.
Helpful 1 person found this helpful
July 9, 2015
Answer: Eye lid Laser and Blepharoplasty can be performed safely While transcutaneous lower eye lid Blepharoplasty can cause retraction/ectropian of the lower eyelid, this is rare if performed properly and in patients who are good candidates for the procedure. There are several techniques for correcting the eyelids. Some surgical approaches are internal, (the transconjunctival approach) or external (transcutaneous). When I see a patient with very little excess eyelid skin, good lid support, some fine "crepe paper" wrinkles in the skin and some fat pocket bulges, I often recommend a transconjuntival Blepharoplasty and laser resurfacing of the lower eye lid skin. On the other hand, if a patient has excess skin and/or poor lid support an external approach may be required. With this technique, the lower eyelid can be supported with a canthopexy to prevent lid retraction and the excess skin can removed. As you can see, the proper choice for you depends upon your specific condition. Consult with a physician who has a good reputation and is experienced in eyelid surgery. Make sure your doctor explains the different options and that procedure is the best for your particular case.
Helpful 1 person found this helpful