
Patient 73
This patient had undergone prior upper and lower blepharoplasty in the past. He complained of a droopy appearance to his upper lids and irritation in both eyes due to the retraction in his lower lids. He had ptosis in his upper lids which may have worsened with time. He wished to have his eyelids appear more natural appearing, see better and improve his irritation.
The goal of my surgery was to help him see better by lifting his eyelids and also to correct the laxity and retraction he had in his lower lids. Retraction of the lower lids is a result of a downward displacement of the lower lids either from prior surgery (cosmetic or trauma), thyroid related problem, or just as a result of aging changes. The retraction in his lower lids prevents him from closing his eyes at well so he has problems with excessive exposure to the eye. This results in his irritation and redness to the eyes. As a result, he underwent bilateral upper lid ptosis surgery with no additional removal of eyelid skin though. He also underwent retraction repair to help lift up his lower lids to a more normal position by a canthoplasty. A canthoplasty is a type of a lower lid resuspension technique. You can read more about this in the following sections: 1) ectropion repair and 2) reconstructive lower lid surgery.



