Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty
Summary:. The correction of iatrogenic ectropion of the lower lid represents one of the most complex surgical challenges for the plastic surgeon. These complications compromise both the functionality and aesthetics of the periocular area, and corrective interventions aim to restore the functionality...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007071 |
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| author | Matilde Tettamanzi, MD Giovanni Muratore, MD Federico Ziani, MD Giovanni Arrica, MD Claudia Trignano, MD Corrado Rubino, MD, FEBOPRAS Emilio Trignano, MD, PhD |
| author_facet | Matilde Tettamanzi, MD Giovanni Muratore, MD Federico Ziani, MD Giovanni Arrica, MD Claudia Trignano, MD Corrado Rubino, MD, FEBOPRAS Emilio Trignano, MD, PhD |
| author_sort | Matilde Tettamanzi, MD |
| collection | DOAJ |
| description | Summary:. The correction of iatrogenic ectropion of the lower lid represents one of the most complex surgical challenges for the plastic surgeon. These complications compromise both the functionality and aesthetics of the periocular area, and corrective interventions aim to restore the functionality and anatomy of the region. The combination of multiple complications often requires the use of various surgical techniques to resolve the problem. We present the clinical case of a 46-year-old woman who came to our attention following bilateral upper and lower blepharoplasty performed in a private facility by another professional approximately 6 months ago. She presented with third-degree ectropion and lagophthalmos of the left lower eyelid, and second-degree ectropion of the right lower eyelid. Surgical interventions to correct these problems often require skin and cartilage grafts, which often result in recurrences and suboptimal scarring outcomes. The patient expressed reluctance toward the adoption of skin and cartilage grafts taken from another site, so it was decided to opt for correction through a midface lift, lateral canthoplasty, tarsal strip, and conjunctival excision. The follow-up confirmed the success of the surgical procedure, allowing for the correction and restoration of eyelid functionality and aesthetics, without the need for third-party donor sites and with great patient satisfaction. |
| format | Article |
| id | doaj-art-c63d0cbc30944ed883f4f6c3ee8f86d4 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-c63d0cbc30944ed883f4f6c3ee8f86d42025-08-26T03:24:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-08-01138e707110.1097/GOX.0000000000007071202508000-00043Integrated Reconstructive Management of Periocular Complications Following Bilateral BlepharoplastyMatilde Tettamanzi, MD0Giovanni Muratore, MD1Federico Ziani, MD2Giovanni Arrica, MD3Claudia Trignano, MD4Corrado Rubino, MD, FEBOPRAS5Emilio Trignano, MD, PhD6From the * Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, Italy† Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Palermo, Palermo, ItalyFrom the * Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, ItalyFrom the * Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, Italy‡ Department of Biomedical Sciences, University of Sassari, Sassari, Italy.From the * Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, ItalyFrom the * Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, ItalySummary:. The correction of iatrogenic ectropion of the lower lid represents one of the most complex surgical challenges for the plastic surgeon. These complications compromise both the functionality and aesthetics of the periocular area, and corrective interventions aim to restore the functionality and anatomy of the region. The combination of multiple complications often requires the use of various surgical techniques to resolve the problem. We present the clinical case of a 46-year-old woman who came to our attention following bilateral upper and lower blepharoplasty performed in a private facility by another professional approximately 6 months ago. She presented with third-degree ectropion and lagophthalmos of the left lower eyelid, and second-degree ectropion of the right lower eyelid. Surgical interventions to correct these problems often require skin and cartilage grafts, which often result in recurrences and suboptimal scarring outcomes. The patient expressed reluctance toward the adoption of skin and cartilage grafts taken from another site, so it was decided to opt for correction through a midface lift, lateral canthoplasty, tarsal strip, and conjunctival excision. The follow-up confirmed the success of the surgical procedure, allowing for the correction and restoration of eyelid functionality and aesthetics, without the need for third-party donor sites and with great patient satisfaction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007071 |
| spellingShingle | Matilde Tettamanzi, MD Giovanni Muratore, MD Federico Ziani, MD Giovanni Arrica, MD Claudia Trignano, MD Corrado Rubino, MD, FEBOPRAS Emilio Trignano, MD, PhD Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty Plastic and Reconstructive Surgery, Global Open |
| title | Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty |
| title_full | Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty |
| title_fullStr | Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty |
| title_full_unstemmed | Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty |
| title_short | Integrated Reconstructive Management of Periocular Complications Following Bilateral Blepharoplasty |
| title_sort | integrated reconstructive management of periocular complications following bilateral blepharoplasty |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007071 |
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