When skin is aggressively removed from the lower eyelids or excessive laser is applied, the lower eyelids can be pulled downward. In many cases, the downward pull of the skin leads to an unnatural appearance of the eye due to extra white (sclera) beneath the colored part of the eye (iris). This dynamic is known as lower eyelid retraction. Lower eyelid retraction can also occur due to excessive sun damage, traumatic injury or facial reconstruction.
In extreme cases, lower eyelid retraction is associated with an inability to close the eyelids. When the eyelids cannot close, the surface of the eye can dry out. The drying out of the eyes can decrease vision, cause discomfort and leave the eye more prone to developing infections.
Lower eyelid retraction repair is a procedure that helps restore the lower eyelid back to its normal position. Restoration of normal lower eyelid position often utilizes a combination of different techniques, including tightening of the outer corner of the eyelid, elevating the midface/cheek and placing skin or cartilage grafts in and around the eyelid to replace missing tissue.
The goals of this surgery include restoring normal function and creating a cosmetically pleasing appearance for the lower eyelids.
Benefits of Lower Eyelid Retraction Repair
Lower eyelid retraction repair can:
- Improve the appearance of the eye by elevating the lower eyelid.
- Improve dry eye and associated discomfort.
- Improve the eyes’ ability to close completely.
Candidates for Lower Eyelid Retraction Repair
Candidates for eyelid surgery include those who:
- Do not have a history of significant eye problems.
- Do not smoke and remain in good health.
- Do not have a history of excessive scarring or keloid formation.
The Lower Eyelid Retraction Repair Procedure
Lower eyelid retraction repair often involves multiple different procedures to help restore a more normal position to the lower eyelid. The types of procedures utilized depend on the underlying cause of the lower eyelid retraction. For instance, scarring and contraction of the inner surface of the eyelid may best be improved by placement of a cartilage graft.
During your consultation, Dr. Berbos or Dr. Moore will thoroughly evaluate your eyelids and face to determine which combination of procedures will best address your unique anatomy and concerns.
Results and Recovery After Lower Eyelid Retraction Repair
Following surgery, you may experience swelling and bruising around the eyes. Bruising and swelling are usually present for approximately two weeks. Length of recovery time will depend on the technique utilized during surgery. Depending on which procedures are performed, some patients may also need to keep their eye patched for several days after surgery. Most patients are able to return to their normal activities after one or two weeks.
Post-surgery recommendations following lower eyelid retraction repair include:
- Apply an ice pack to the surgical areas during the first three to four days after surgery to control swelling.
- Refrain from wearing contact lenses or makeup around the eyes for the first week after surgery.
- Protect your skin from the sun, which will help prevent scarring.
- Avoid strenuous exercise or lifting weights over eight pounds for the first few weeks after surgery.
Schedule a Consultation for Lower Eyelid Retraction Repair
If you would like to learn more about a lower eyelid retraction repair from our surgeons at Visage Aesthetics and Plastic Surgery, contact us today to schedule a consultation. We look forward to meeting with you and discussing your unique aesthetic goals.
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