Is it difficult to correct webbing after a lower blepharoplasty? 1 year post op

Question

I have had a lower and upper blepharoplasty about 15 years ago, then I had my uppers done again about 4 years ago, but I had my lowers done again about 1year ago and because I had had them done previous the surgeon insisted on a hammock stitch at the outer corners of my eye, which has caused webbing! Especially on one side more than the other! He said he stitched the lower outer corner to the top lid! He said he would try to fix it with skin grafting if I like but, is this very successful?

Kenneth D. Steinsapir, MD · Answer

Consider posting a photograph so we know precisely what your issue looks like. It is so very easy for the lateral canthus to have an issue. Repairing these take advanced techniques to avoid further disfigurement. Generally it is necessary to vertically lift the cheek to recruit more skin and soft tissue into the lower eyelid to put the lateral canthus together under no tension. In my opinion, this also required a rim implant as a felting material to retain the lift cheek in place. Also a spacer graft is needed to control the shape of the lower eyelid. Generally I use hard palate graft for this. There is no substitute for a detailed in person assessment. Don't get talked into surgery that is going to make you worse.

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Dear Thaithai
Lateral canthus webbing is an uncommon complication of lower blepharoplasty. The angle at the latteral eye corner should be acute. If as result of surgery skin obscures that acute angle it causes lateral webbing. It is as result of shortage of skin in vertical direction at the lateral eye corner. This can be both a cosmetic problem and a functional ( might obstruct the lateral gaze). There are different methods of correction including small skin flaps or skin grafts. The principle is bringing extra skin to the area of deficiency. It would be important to have a proper clinical examination to assess the condition and also the available local tissue which could be used for repair. After that your surgeon can inform you better about the method of surgery and the potential outcome.I hope you find this explanation helpful.Amir Sadr MD

Is it difficult to correct webbing after a lower blepharoplasty? 1 year post op

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Is it difficult to correct webbing after a lower blepharoplasty? 1 year post op

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.