I'm trying to figure out why a lot of patients on Realself.com get ectropion after a lower blepharoplasty. Is it due to a surgeon not having a lot of experience doing lower blepharoplasty ? Is it due to a surgeon stretching the lower lid too much during surgery? Does ectropion even happen even if you see a Oculoplastic surgeon who only does cosmetic and reconstructive eye surgery?
November 6, 2018
Answer: Ectropion after blepharoplasty There are a couple of reasons for the ectropion. A major reason for this is unrecognized lower eyelid laxity. As we age the muscles of the lid become more lax, and this will vary tremendously from person to person. If someone has a loose lower lid, they will be much more likely to get an ectropion if any skin is removed from the lid. For this reason the lid has to evaluated properly both before and during the surgery. If an eyelid is loose, there are ways to tighten it in the corner to help maintain stability. Anytime too much skin is excised an ectropion can occur - even if you have a tight lower lid. An external skin-muscle surgery also has a higher incidence of ectropion compared to a transconjunctival approach. Occasionally some temporary ectropion can occur if you have significant swelling. As the edema resolves the lid may move back to its normal position.Oculoplastic surgeons have extensive training in eyelid surgery but an ectropion can occur with any surgeon if care is not taken to avoid excessive skin excision, or if a loose lid is not tightened.
Helpful 2 people found this helpful
November 6, 2018
Answer: Ectropion after blepharoplasty There are a couple of reasons for the ectropion. A major reason for this is unrecognized lower eyelid laxity. As we age the muscles of the lid become more lax, and this will vary tremendously from person to person. If someone has a loose lower lid, they will be much more likely to get an ectropion if any skin is removed from the lid. For this reason the lid has to evaluated properly both before and during the surgery. If an eyelid is loose, there are ways to tighten it in the corner to help maintain stability. Anytime too much skin is excised an ectropion can occur - even if you have a tight lower lid. An external skin-muscle surgery also has a higher incidence of ectropion compared to a transconjunctival approach. Occasionally some temporary ectropion can occur if you have significant swelling. As the edema resolves the lid may move back to its normal position.Oculoplastic surgeons have extensive training in eyelid surgery but an ectropion can occur with any surgeon if care is not taken to avoid excessive skin excision, or if a loose lid is not tightened.
Helpful 2 people found this helpful
Answer: Ectropion Ectropion after lower lid blepharoplasty can be caused by a variety of factors, including excessive lower lid skin excision, pre-existing lower lid laxity, and injury to the nerves that innervate the orbicularis muscle. There are techniques to prevent postoperative ectropion due to these factors. To minimize the risk of ectropion, my recommendation would be to seek out a surgeon who has been well-trained in lower lid blepharoplasty techniques.
Helpful 1 person found this helpful
Answer: Ectropion Ectropion after lower lid blepharoplasty can be caused by a variety of factors, including excessive lower lid skin excision, pre-existing lower lid laxity, and injury to the nerves that innervate the orbicularis muscle. There are techniques to prevent postoperative ectropion due to these factors. To minimize the risk of ectropion, my recommendation would be to seek out a surgeon who has been well-trained in lower lid blepharoplasty techniques.
Helpful 1 person found this helpful
