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Chapter-037 Transconjunctival Lower Lid Blepharoplasty

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Karen Mathew
ISBN
9788184486797
DOI
10.5005/jp/books/10351_37
Edition
1/e
Publishing Year
2009
Pages
3
Author Affiliations
1. Winchester Facial Cosmetic Surgery, Winchester, Virginia, USA
Chapter keywords
Transconjunctival blepharoplasty, lower lid, orbital fat, orbicularis oculi muscle, dermatochalasis, sagittal plane, conjunctival suture, hematoma, blindness, conjunctiva

Abstract

This chapter discusses transconjunctival lower lid blepharoplasty, where lower lid comprises various anatomic layers. Transconjunctival blepharoplasty approaches the orbital fat posteriorly, through the posterior lamella. The anterior lamella consists of the anterior septum, orbicularis oculi muscle, and eyelid skin and is the outermost layer in posterior to anterior dimensions in the sagittal plane. A fascial arcuate expansion from the inferior oblique separates the central fat pad from the lateral fat pad. Certain patients are ideal candidates for transconjunctival lower lid blepharoplasty, such as those with familial, hereditary, dermatochalasis show excellent results after surgery. The conjunctival suture is removed and the conjunctiva is placed in its normal anatomic position. The most common complication resulting from transconjunctival lower lid blepharoplasty is inadequate fat removal. Major complications seen with all types of blepharoplasty are postoperative hematoma, blindness, injury to ocular musculature, and infection.

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