Dr.Shilpa Taneja Mittal, Dr.Debraj Shome, Dr.Rinky Kapoor
Lower Eyelid Retraction, combined with hollowness, ectropion and entropion, can occur following a routine lower eyelid blepharoplasty. Excess skin excision & scar formation causes eyelid retraction, due to anterior lamellar shortening. To raise the lower eyelids into the correct position, skin grafts have been used & placed on the visible skin surface of the lower eyelid to lengthen it. Lateral tarsal strip has been described too. All of these provide inferior, unaesthetic results. We describe the sub-periosteal mid face lift, using a trans-conjunctival & an intra-oral approach. The mid face lift releases the scar tissue tethering the lower eyelid & raises the lower eyelid skin, providing extra tissue to the skin lamella. The posterior lamella is then lengthened using a hard palate graft. This video will compare the results of traditional lower eyelid retraction treatments with those of the mid-face lift and hard palate graft to treat such abnormalities.