Prevention of Lower Eyelid Malposition After Blepharoplasty: Anatomic and Technical Considerations of the Inside-Out Blepharoplasty

• Published in: Archives of facial plastic surgery Vol. 9; no. 6; pp. 434 - 438
• Main Authors: Rosenberg, David B, Lattman, Jessica, Shah, Anil R
• Format: Journal Article
• Language: English
• Published: United States American Medical Association 01.11.2007
• Subjects: Adult; Blepharoplasty - methods; Eye - anatomy & histology; Female; Humans; Intraoperative Complications - prevention & control; Male; Reconstructive Surgical Procedures - methods; Retrospective Studies
• ISSN: 1521-2491; 1538-3660
• DOI: 10.1001/archfaci.9.6.434

Objective  To determine the position of the lower eyelid and lateral canthus after release of the lower eyelid retractors with the “inside-out technique” by measuring the marginal reflex distance 2 (MRD2) and using the lateral canthal rounding scale.Design  Retrospective analysis.Results  Of the 171 patients who underwent inside-out blepharoplasty, 78 were followed up for 3 months. Preoperative MRD2 was 0.942 pixels. Postoperatively, the modified MRD2 was 0.903. Although the score of the modified MRD2 was found to decrease postoperatively, the decrease was not statistically significant (P < .07). The lateral rounding scale reviewed an average preoperative score of 2.04 and a postoperative score of 1.99. There was no statistical difference between pre- and postoperative observations based on a 1-tailed t test. No complications were reported.Conclusion  Using photographic analysis, the study found no difference in lateral canthal shape or MRD2 before and after surgery in patients who underwent inside-out blepharoplasty.