Background: Lower eyelid malposition is a common
complication that is seen after lower eye lid blepharoplasty.
Many options are available although, none is perfect. Many
techniques tried to solve each lamellar defect separately.
Others tried to recruit mid face skin through mid-face lifting
to relieve any tension over the lower eyelid. Skin grafting
may solve skin deficiency while tarsal plate deficiency may
need cartilage graft or resuspension.
Patients and Methods: Twelve patients suffering from
lower eyelid malposition after lower blepharoplasty underwent
lateral tarsal strip blepharoplasty with resuspension of the
middle lamella of the lower eye lid to the periosteum of the
lateral orbital wall and adheso-lysis of the lower eyelid.
Results: Ten female and two male patients, with age range
from 43 to 72 years, had ectropion four or more months after
blepharoplasty. Full correction of the ectropion with long
follow-up after lateral tarsal strip procedure. All the patients'
problem were solved with early disappearance of eye irritation
manifestation. All patients didn't suffer any relapse or scleral
malposition or asymmetry after correction except for one
patient who needed additional procedure.
Conclusion: Lateral tarsal plate canthopexy is still a
valuable option for correction of moderate to severe lower
lid malposition following lower blepharoplasty. Offering more
suspension, no need for skin graft.