Secondary Lower Eyelid Reconstruction

Secondary Lower Eyelid Reconstruction

Presentación del caso:

Corrección del ectropión posblefaroplastia

Una paciente se sometió a una blefaroplastia del párpado inferior en otro centro quirúrgico, con el objetivo de mejorar su aspecto estético antes de un evento importante programado para tan solo 10 días después.

Tras la extirpación de piel del párpado inferior, la paciente desarrolló un ectropión posoperatorio, lo que provocó una malposición del párpado inferior y la pérdida del soporte anatómico.

Clinical Case:

Correction of Post-Blepharoplasty Ectropion

A female patient underwent lower eyelid blepharoplasty at another surgical center, seeking aesthetic improvement before an important event scheduled just 10 days later.

Following lower eyelid skin excision, the patient developed postoperative ectropion, resulting in lower eyelid malposition and loss of anatomical support.

Surgical Reconstruction

1

Dermal Orbicular PENNANT Canthoplasty -D.O.P- – Tarsal Strip Conversion

Correction of the ectropion using D.O.P. canthoplasty, modified into a lateral tarsal strip technique.

The bowstringing effect provides controlled horizontal tension and lateral canthal stabilization, restoring lower eyelid positioning and improving its relationship with the globe.

2

Midface Suspension – Mitek Anchor Support

Additional cheek support was achieved through midface suspension using a Mitek screw bone anchor.

This provides structural support to the lower eyelid reconstruction and reduces downward traction from the midface.

3

Precise Autologous Fat Grafting

Targeted autologous fat grafting was performed to restore volume and improve the lower eyelid–cheek transition.

Surgical Objective

Restore eyelid position, reinforce lateral canthal support, and reestablish a natural eyelid–cheek contour.

Secondary lower eyelid surgery requires more than aesthetic correction. Its primary objective is to restore anatomical support and eyelid function while achieving a natural appearance.

Postoperative Result

1-Year Follow-Up

At one year postoperatively, the patient demonstrates sustained correction of the lower eyelid malposition, with restoration of the eyelid–globe relationship and improved lateral canthal support.

The combination of D.O.P. canthoplasty with tarsal strip conversion Mitek-assisted cheek suspension, and precise autologous fat grafting achieved a stable anatomical reconstruction and improved periocular contour.