Management of adhesion using a pretarsal fibromuscular flap or graft in secondary blepharoplasty

Plastic and Reconstructive Surgery
Byung Gun Kim, Do Yong Youn

Abstract

In double eyelid operations, if the eyes have too little fat and soft tissue, or if too much of the orbital fat was removed during the operation, the double eyelid crease is placed too high and the supratarsal recess becomes hollow and adhesion of the eyelid crease occurs even in the orbital septum and levator muscle. A secondary double eyelid operation in response to these problems needs to correct the height of the eyelid crease by releasing the inadequately high eyelid fold and preventing readhesion. Moreover, in case the muscle and scar tissue are bulged below the incision line, the height of the double eyelid should be appropriately lowered and the bulky lower flap should be flattened. In cases where the adjacent tissue (e.g., preaponeurotic fat) was excessively removed during the primary double eyelid operation, a free fat or dermis fat graft was performed to correct supratarsal depression and readhesion. These graft materials are extracted from a distant donor site. Even if the adjacent tissue was not sufficient, the authors made the superiorly based local flap or graft of pretarsal scar-muscle tissue obtained after thinning the bulky lower flap. In these cases, the fibrous muscle flap or graft compensated tissue depleti...Continue Reading

References

Apr 1, 1989·Plastic and Reconstructive Surgery·C J Weng, M S Noordhoff
Feb 15, 2001·Plastic and Reconstructive Surgery·Y LeeK Hwang

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Citations

May 27, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Lehao W WuYiping Wu
Oct 21, 2016·Annals of Plastic Surgery·Kenneth K KimHong Seok Kim
Dec 1, 2020·Aesthetic Surgery Journal·Jiuzuo HuangXiao Long

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