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Facial Plast Surg 2012; 28(03): 273-287
DOI: 10.1055/s-0032-1312705
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Blepharoplasty Complications

William P. Mack
1   Department of Ophthalmology, University of South Florida, Florida
› Institutsangaben
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Publikationsdatum:
21. Juni 2012 (online)

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Abstract

There are three major areas of concern for a patient who has complications following a cosmetic blepharoplasty: cosmetic issues, functional issues, and uncomfortable/symptomatic issues or a combination of the above. An emphasis will be placed on avoiding cosmetic eyelid complications as well as the medical and surgical management of complications.

Keywords

blepharoplasty - lid retraction - orbital hemorrhage - dry eye syndrome - ptosis
 

  • References

  • 1 Lyon DB, Raphtis CS. Management of complications of blepharoplasty. Int Ophthalmol Clin 1997; 37: 205-216
    CrossrefPubMedSuche in Google Scholar
  • 2 Gausas RE. Complications of blepharoplasty. Facial Plast Surg 1999; 15: 243-253
    Thieme ConnectPubMedSuche in Google Scholar
  • 3 Niamtu III J. Cosmetic blepharoplasty. Atlas Oral Maxillofac Surg Clin North Am 2004; 12: 91-130
    CrossrefPubMedSuche in Google Scholar
  • 4 Morax S, Touitou V. Complications of blepharoplasty. Orbit 2006; 25: 303-318
    CrossrefPubMedSuche in Google Scholar
  • 5 Hartstein ME, Kikkawa D. How to avoid blepharoplasty complications. Oral Maxillofac Surg Clin North Am 2009; 21: 31-41 , v–vi
    CrossrefPubMedSuche in Google Scholar
  • 6 Solomon KD, Fernández de Castro LE, Sandoval II HP, Bartholomew LR, Vroman DT. Refractive surgery survey 2003. J Cataract Refract Surg 2004; 30: 1556-1569
    CrossrefPubMedSuche in Google Scholar
  • 7 Korn BS, Kikkawa DO, Schanzlin DJ. Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome. Plast Reconstr Surg 2007; 119: 2232-2239
    CrossrefPubMedSuche in Google Scholar
  • 8 Hester Jr TR, Douglas T, Szczerba S. Decreasing complications in lower lid and midface rejuvenation: the importance of orbital morphology, horizontal lower lid laxity, history of previous surgery, and minimizing trauma to the orbital septum: a critical review of 269 consecutive cases. Plast Reconstr Surg 2009; 123: 1037-1049
    CrossrefPubMedSuche in Google Scholar
  • 9 Floegel I, Horwath-Winter J, Muellner K, Haller-Schober EM. A conservative blepharoplasty may be a means of alleviating dry eye symptoms. Acta Ophthalmol Scand 2003; 81: 230-232
    CrossrefPubMedSuche in Google Scholar
  • 10 Hamawy AH, Farkas JP, Fagien S, Rohrich RJ. Preventing and managing dry eyes after periorbital surgery: a retrospective review. Plast Reconstr Surg 2009; 123: 353-359
    CrossrefPubMedSuche in Google Scholar
  • 11 Vold SD, Carroll RP, Nelson JD. Dermatochalasis and dry eye. Am J Ophthalmol 1993; 115: 216-220
    PubMedSuche in Google Scholar
  • 12 Moss SE, Klein R, Klein BE. Prevalence of and risk factors for dry eye syndrome. Arch Ophthalmol 2000; 118: 1264-1268
    CrossrefPubMedSuche in Google Scholar
  • 13 Toda I, Asano-Kato N, Komai-Hori Y, Tsubota K. Dry eye after laser in situ keratomileusis. Am J Ophthalmol 2001; 132: 1-7
    CrossrefPubMedSuche in Google Scholar
  • 14 Saadat D, Dresner SC. Safety of blepharoplasty in patients with preoperative dry eyes. Arch Facial Plast Surg 2004; 6: 101-104
    CrossrefPubMedSuche in Google Scholar
  • 15 Fagien S. Advanced rejuvenative upper blepharoplasty: enhancing aesthetics of the upper periorbita. Plast Reconstr Surg 2002; 110: 278-291 ; discussion 292
    CrossrefPubMedSuche in Google Scholar
  • 16 Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. Ophthal Plast Reconstr Surg 2004; 20: 426-432
    CrossrefPubMedSuche in Google Scholar
  • 17 Pruthi RK. Five things oculoplastic surgeons should know about the preoperative assessment of hemostasis. Ophthal Plast Reconstr Surg 2002; 18: 396-401
    CrossrefPubMedSuche in Google Scholar
  • 18 Wolfort FG, Vaughan TE, Wolfort SF, Nevarre DR. Retrobulbar hematoma and blepharoplasty. Plast Reconstr Surg 1999; 104: 2154-2162
    CrossrefPubMedSuche in Google Scholar
  • 19 Callahan MA. Prevention of blindness after blepharoplasty. Ophthalmology 1983; 90: 1047-1051
    PubMedSuche in Google Scholar
  • 20 Goldberg RA, Marmor MF, Shorr N, Christenbury JD. Blindness following blepharoplasty: Two case reports and a discussion of management. Ophthalmic Surg 1990; 21: 81-89
    PubMedSuche in Google Scholar
  • 21 Mahaffey PJ, Wallace AF. Blindness following cosmetic blepharoplasty—a review. Br J Plast Surg 1986; 39: 213-221
    CrossrefPubMedSuche in Google Scholar
  • 22 Putterman AM. Temporary blindness after cosmetic blepharoplasty. Am J Ophthalmol 1975; 80: 1081-1083
    PubMedSuche in Google Scholar
  • 23 Jafek BW, Kreiger AE, Morledge D. Proceedings: blindness following blepharoplasty. Arch Otolaryngol 1973; 98: 366-369
    CrossrefPubMedSuche in Google Scholar
  • 24 Kelly PW, May DR. Central retinal artery occlusion following cosmetic blepharoplasty. Br J Ophthalmol 1980; 64: 918-922
    CrossrefPubMedSuche in Google Scholar
  • 25 Omoigui S, Irene S. Treatment of ptosis as a complication of botulinum toxin injection. Pain Med 2005; 6: 149-151
    CrossrefPubMedSuche in Google Scholar
  • 26 Wollina U, Konrad H. Managing adverse events associated with botulinum toxin type A: a focus on cosmetic procedures. Am J Clin Dermatol 2005; 6: 141-150
    CrossrefPubMedSuche in Google Scholar
  • 27 Huang W, Rogachefsky AS, Foster JA. Browlift with botulinum toxin. Dermatol Surg 2000; 26: 55-60
    CrossrefPubMedSuche in Google Scholar
  • 28 Huilgol SC, Carruthers A, Carruthers JDA. Raising eyebrows with botulinum toxin. Dermatol Surg 1999; 25: 373-375 ; discussion 376
    CrossrefPubMedSuche in Google Scholar
  • 29 Fagien S. Temporary management of upper lid ptosis, lid malposition, and eyelid fissure asymmetry with botulinum toxin type A. Plast Reconstr Surg 2004; 114: 1892-1902
    CrossrefPubMedSuche in Google Scholar
  • 30 Weinfeld AB, Burke R, Codner MA. The comprehensive management of chemosis following cosmetic lower blepharoplasty. Plast Reconstr Surg 2008; 122: 579-586
    CrossrefPubMedSuche in Google Scholar
  • 31 Cheng JH, Lu DW. Perilimbal needle manipulation of conjunctival chemosis after cosmetic lower eyelid blepharoplasty. Ophthal Plast Reconstr Surg 2007; 23: 167-169
    CrossrefPubMedSuche in Google Scholar
  • 32 Enzer YR, Shorr N. Medical and surgical management of chemosis after blepharoplasty. Ophthal Plast Reconstr Surg 1994; 10: 57-63
    CrossrefPubMedSuche in Google Scholar
  • 33 Sutcliffe RT. Chemosis following blepharoplasty. Ophthalmic Surg 1995; 26: 290-291
    PubMedSuche in Google Scholar
  • 34 Thakker MM, Tarbet KJ, Sires BS. Postopertative chemosis after cosmetic eyelid surgery: Surgical management with conjunctiroplasty. Arch Facial Plast Surg 2005; 7: 185-188
    CrossrefPubMedSuche in Google Scholar
  • 35 Putterman AM. Regarding comprehensive management of chemosis following cosmetic lower blepharoplasty. Plast Reconstr Surg 2009; 124: 313-314
    PubMedSuche in Google Scholar
  • 36 Flowers RS. Blepharoplasty. In: Courtiss EH, ed. Male Aesthetic Surgery. St. Louis, MO: CV Mosby; 1982
    Suche in Google Scholar
  • 37 Leone CR. Treatment of a prolapsed lacrimal gland. In: Putterman AM, ed. Cosmetic Oculoplastic Surgery: Eyelid, Forehead, and Facial Techniques. 3rd ed. Philadelphia: W.B. Saunders Company; 1999: 169-176
    Suche in Google Scholar
  • 38 Beer GM, Kompatscher P. A new technique for the treatment of lacrimal gland prolapse in blepharoplasty. Aesthetic Plast Surg 1994; 18: 65-69
    CrossrefPubMedSuche in Google Scholar
  • 39 Baylis HI, Sutcliffe T, Fett DR. Levator injury during blepharoplasty. Arch Ophthalmol 1984; 102: 570-571
    CrossrefPubMedSuche in Google Scholar
  • 40 Burroughs JR, McLeish WM, Anderson RL. Upper blepharoplasty combined with levator aponeurosis repair. In: Fagien S, ed. Putterman's Cosmetic Oculoplastic Surgery. 4th ed. Philadelphia, PA: Saunders Elsevier; 2008: 115-122
    Suche in Google Scholar
  • 41 Putterman AM, Fagien S. Muller's muscle-conjunctival resection-ptosis procedure combined with upper blepharoplasty. In: Fagien S, ed. Putterman's Cosmetic Oculoplastic Surgery. 4th ed. Philadelphia, PA: Saunders Elsevier; 2008: 123-134
    Suche in Google Scholar
  • 42 Goldberg RA. Fat repositioning in lower blepharoplasty. In: Fagien S, ed. Putterman's Cosmetic Oculoplastic Surgery. 4th ed. Philadelphia, PA: Saunders Elsevier; 2008: 217-226
    Suche in Google Scholar
  • 43 Trussler AP, Rohrich RJ. MOC-PSSM CME article: blepharoplasty. Plast Reconstr Surg 2008; 121 (1, Suppl) 1-10
    PubMedSuche in Google Scholar
  • 44 Redbord KP, Busso M, Hanke CW. Soft-tissue augmentation with hyaluronic acid and calcium hydroxylapatite fillers. Dermatol Ther 2011; 24: 77-81
    PubMedSuche in Google Scholar
  • 45 Fitzgerald R, Graivier MH, Kane M , et al. Nonsurgical modalities to treat the aging face. Aesthet Surg J 2010; 30 (Suppl) 31S-35S
    CrossrefPubMedSuche in Google Scholar
  • 46 Berbos ZJ, Lipham WJ. Update on botulinum toxin and dermal fillers. Curr Opin Ophthalmol 2010; 21: 387-395
    PubMedSuche in Google Scholar
  • 47 Finn JC, Cox S. Fillers in the periorbital complex. Facial Plast Surg Clin North Am 2007; 15: 123-132 , viii
    CrossrefPubMedSuche in Google Scholar
  • 48 Steinsapir KD, Steinsapir SM. Deep-fill hyaluronic acid for the temporary treatment of the naso-jugal groove: a report of 303 consecutive treatments. Ophthal Plast Reconstr Surg 2006; 22: 344-348
    CrossrefPubMedSuche in Google Scholar
  • 49 Buckingham ED, Bader B, Smith SP. Autologous fat and fillers in periocular rejuvenation. Facial Plast Surg Clin North Am 2010; 18: 385-398
    CrossrefPubMedSuche in Google Scholar
  • 50 Bray D, Hopkins C, Roberts DN. A review of dermal fillers in facial plastic surgery. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 295-302
    CrossrefPubMedSuche in Google Scholar
  • 51 Lambros V. Volumizing the brow with hyaluronic acid fillers. Aesthet Surg J 2009; 29: 174-179
    CrossrefPubMedSuche in Google Scholar
  • 52 Goldberg RA, Fiaschetti B. Filling the periorbital hollows with hyaluronic acid gel: Initial experience with 244 injections. Ophthal Plast Reconstr Surg 2006; 22: 335-341
    CrossrefPubMedSuche in Google Scholar
  • 53 Fagien S, Carruthers J, Carruthers A. Injectable agents for dermal soft-tissue augmentation of the face: options and decision making. 4th ed. In: Fagien S, ed. Putterman's Cosmetic Oculoplastic Surgery. Boca Raton, FL: Saunders Elsevier; 2008: 279-302
    Suche in Google Scholar
  • 54 Tenzel RR, Buffam FV, Miller GR. The use of the “lateral canthal sling” in ectropion repair. Can J Ophthalmol 1977; 12: 199-202
    PubMedSuche in Google Scholar
  • 55 Schaefer AJ. Lateral canthal tendon tuck. Ophthalmology 1979; 86: 1879-1882
    PubMedSuche in Google Scholar
  • 56 Codner MA, McCord CD, Hester TR. The lateral canthoplasty. Oper Tech Plast Reconst Surg 1998; 5: 90
    PubMedSuche in Google Scholar
  • 57 McCord Jr CD, Codner MA, Hester TR. Redraping the inferior orbicularis arc. Oper Tech Plast Reconst Surg 1998; 102: 2471-2479
    PubMedSuche in Google Scholar
  • 58 Fagien S. Algorithm for canthoplasty: The lateral retinacular suspension. A simplified suture canthopexy. Plast Reconstr Surg 1999; 103: 2042
    CrossrefPubMedSuche in Google Scholar
  • 59 Flowers RS. Canthopexy as a routine blepharoplasty component. Clin Plast Surg 1993; 20: 351-365
    PubMedSuche in Google Scholar
  • 60 Lowry JC, Bartley GB. Complications of blepharoplasty. Surv Ophthalmol 1994; 38: 327-350
    CrossrefPubMedSuche in Google Scholar
  • 61 Fagien S. Algorithm for canthoplasty: the lateral retinacular suspension: a simplified suture canthopexy. Plast Reconstr Surg 1999; 103: 2042-2053 ; discussion 2054–2058
    CrossrefPubMedSuche in Google Scholar
  • 62 Jelks GW, Jelks EB. Repair of lower lid deformities. Clin Plast Surg 1993; 20: 417-425
    PubMedSuche in Google Scholar
  • 63 Glat PM, Jelks GW, Jelks EB, Wood M, Gadangi P, Longaker MT. Evolution of the lateral canthoplasty: techniques and indications. Plast Reconstr Surg 1997; 100: 1396-1405 ; discussion 1406–1408
    CrossrefPubMedSuche in Google Scholar
  • 64 Jelks GW, Glat PM, Jelks EB, Longaker MT. The inferior retinacular lateral canthoplasty: a new technique. Plast Reconstr Surg 1997; 100: 1262-1270 ; discussion 1271–1275
    CrossrefPubMedSuche in Google Scholar
  • 65 Marsh JL, Edgerton MT. Periosteal pennant lateral canthoplasty. Plast Reconstr Surg 1979; 64: 24-29
    CrossrefPubMedSuche in Google Scholar
  • 66 Patipa M. Lateral canthal tendon resection with conjunctiva preservation for the treatment of lower eyelid laxity during lower eyelid blepharoplasty. Plast Reconstr Surg 1993; 91: 456-462
    CrossrefPubMedSuche in Google Scholar
  • 67 Carraway JH. The role of canthoplasty in aesthetic blepharoplasty. Aesthet Surg J 1998; 18: 277
    CrossrefPubMedSuche in Google Scholar
  • 68 Rees TD. Prevention of ectropion by horizontal shortening of the lower lid during blepharoplasty. Ann Plast Surg 1983; 11: 17-23
    CrossrefPubMedSuche in Google Scholar
  • 69 Edgerton MT, Wolfort FG. The dermal-flap canthal lift for lower eyelid support. A technique of value in the surgical treatment of facial palsy. Plast Reconstr Surg 1969; 43: 42-51
    CrossrefPubMedSuche in Google Scholar
  • 70 Patipa M. The evaluation and management of lower eyelid retraction following cosmetic surgery. Plast Reconstr Surg 2000; 106: 438-453 ; discussion 454–459
    CrossrefPubMedSuche in Google Scholar
  • 71 Millman AL , et al. The septomyocutaneous flap in lower lid blepharoplasty. Ophtalmol Plast Reconstr Surg 1997; 13: 2-6
    PubMedSuche in Google Scholar
  • 72 McCord Jr CD, Shore JW. Avoidance of complications in lower lid blepharoplasty. Ophthalmology 1983; 90: 1039-1046
    CrossrefPubMedSuche in Google Scholar
  • 73 Hinderer UT. Correction of weakness of the lower eyelid and lateral canthus. Personal techniques. Clin Plast Surg 1993; 20: 331-349
    PubMedSuche in Google Scholar
  • 74 Anderson RL, Gordy DD. The tarsal strip procedure. Arch Ophthalmol 1979; 97: 2192-2196
    CrossrefPubMedSuche in Google Scholar
  • 75 Pak J, Putterman AM. Revisional eyelid surgery: treatment of severe postblepharoplasty lower eyelid retraction. Facial Plast Surg Clin North Am 2005; 13: 561-569 , vi–vii
    CrossrefPubMedSuche in Google Scholar
  • 76 Hester Jr TR, Douglas T, Szczerba S. Decreasing complications in lower lid and midface rejuvenation: the importance of orbital morphology, horizontal lower lid laxity, history of previous surgery, and minimizing trauma to the orbital septum: a critical review of 269 consecutive cases. Plast Reconstr Surg 2009; 123: 1037-1049
    CrossrefPubMedSuche in Google Scholar
  • 77 Lee AS, Thomas JR. Lower lid blepharoplasty and canthal surgery. Facial Plast Surg Clin North Am 2005; 13: 541-551 , vi
    CrossrefPubMedSuche in Google Scholar
  • 78 Atiyeh BS, Hayek SN. Combined arcus marginalis release, preseptal orbicularis muscle sling, and SOOF plication for midfacial rejuvenation. Aesthetic Plast Surg 2004; 28: 197-202
    CrossrefPubMedSuche in Google Scholar
  • 79 Carraway JH, Grant MP, Lissauer BJ, Patipa M. Selection of canthopexy techniques. Aesthet Surg J 2007; 27: 71-79
    CrossrefPubMedSuche in Google Scholar
  • 80 Carraway JH, Coleman S, Kane MA, Patipa M. Periorbital rejuvenation. Aesthet Surg J 2001; 21: 337-343
    CrossrefPubMedSuche in Google Scholar
  • 81 Fagien S. Algorithm for canthoplasty: the lateral retinacular suspension: a simplified suture canthopexy. Plast Reconstr Surg 1999; 103: 2042-2053 ; discussion 2054–2058
    CrossrefPubMedSuche in Google Scholar
  • 82 Patipa M. Transblepharoplasty lower eyelid and midface rejuvenation: part I. Avoiding complications by utilizing lessons learned from the treatment of complications. Plast Reconstr Surg 2004; 113: 1459-1468 ; discussion 1475–1477
    CrossrefPubMedSuche in Google Scholar
  • 83 Patipa M. The evaluation and management of lower eyelid retraction following cosmetic surgery. Plast Reconstr Surg 2010; 106: 438
    PubMedSuche in Google Scholar
  • 84 Patipa M. Transblepharoplasty lower eyelid and midface rejuvenation: part II. Functional applications of midface elevation. Plast Reconstr Surg 2004; 113: 1459-1468 ; discussion 1475–1477
    CrossrefPubMedSuche in Google Scholar
  • 85 Kersten RC, Kulwin DR, Levartovsky S, Tiradellis H, Tse DT. Management of lower-lid retraction with hard-palate mucosa grafting. Arch Ophthalmol 1990; 108: 1339-1343
    CrossrefPubMedSuche in Google Scholar
  • 86 Rubin PA, Fay AM, Remulla HD, Maus M. Ophthalmic plastic applications of acellular dermal allografts. Ophthalmology 1999; 106: 2091-2097
    CrossrefPubMedSuche in Google Scholar
  • 87 Korn BS, Kikkawa DO, Cohen SR, Hartstein M, Annunziata CC. Treatment of lower eyelid malposition with dermis fat grafting. Ophthalmology 2008; 115: 744-751 , e2
    CrossrefPubMedSuche in Google Scholar
  • 88 Patel BC, Patipa M, Anderson RL, McLeish W. Management of postblepharoplasty lower eyelid retraction with hard palate grafts and lateral tarsal strip. Plast Reconstr Surg 1997; 99: 1251-1260
    CrossrefPubMedSuche in Google Scholar
  • 89 Tan J, Olver J, Wright M, Maini R, Neoh C, Dickinson AJ. The use of porous polyethylene (Medpor) lower eyelid spacers in lid heightening and stabilisation. Br J Ophthalmol 2004; 88: 1197-1200
    CrossrefPubMedSuche in Google Scholar
  • 90 Pang NK, Bartley GB, Bite U, Bradley EA. Hard palate mucosal grafts in oculoplastic surgery: donor site lessons. Am J Ophthalmol 2004; 137: 1021-1025
    CrossrefPubMedSuche in Google Scholar
  • 91 Oestreicher JH, Pang NK, Liao W. Treatment of lower eyelid retraction by retractor release and posterior lamellar grafting: an analysis of 659 eyelids in 400 patients. Ophthal Plast Reconstr Surg 2008; 24: 207-212
    CrossrefPubMedSuche in Google Scholar
  • 92 McCord C, Nahai FR, Codner MA, Nahai F, Hester TR. Use of porcine acellular dermal matrix (Enduragen) grafts in eyelids: a review of 69 patients and 129 eyelids. Plast Reconstr Surg 2008; 122: 1206-1213
    CrossrefPubMedSuche in Google Scholar
  • 93 Pang NK, Bartley GB, Bite U, Bradley EA. Hard palate mucosal grafts in oculoplastic surgery: donor site lessons. Am J Ophthalmol 2004; 137: 1021-1025
    CrossrefPubMedSuche in Google Scholar
  • 94 Pak J, Putterman AM. Revisional eyelid surgery: treatment of severe postblepharoplasty lower eyelid retraction. Facial Plast Surg Clin North Am 2005; 13: 561-569 , vi–vii
    CrossrefPubMedSuche in Google Scholar
  • 95 Hester TR, Codner MA, McCord CD. Subperiosteal malar cheek lift with lower blepharoplasty. In: McCord CD, Codner MA, , and eds. Eyelid Surgery. Principles and Techniques. Philadelphia: Lippincott-Raven; 1995: 210
    Suche in Google Scholar
  • 96 Hester TR, Codner M, McCord CD. The “centrofacial” approach for facial aging using the transblepharoplasty subperiosteal cheek lift. Aesthetic Surg J 1996; 16: 51
    CrossrefPubMedSuche in Google Scholar
  • 97 Gunter JP, Hackney FL. A simplified transblepharoplasty subperiosteal cheek lift. Plast Reconstr Surg 1999; 103: 2029-2035 ; discussion 2036–2041
    CrossrefPubMedSuche in Google Scholar
  • 98 Owsley Jr JQ, Zweifler M. Midface lift of the malar fat pad: technical advances. Plast Reconstr Surg 2002; 110: 674-685 ; discussion 686–687
    CrossrefPubMedSuche in Google Scholar
  • 99 Hester Jr TR, Codner MA, McCord CD, Nahai F, Giannopoulos A. Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: maximizing results and minimizing complications in a 5-year experience. Plast Reconstr Surg 2000; 105: 393-406 ; discussion 407–408
    CrossrefPubMedSuche in Google Scholar