Abstract
Correction of lower eyelid retraction is necessary to restore adequate blink in paralytic
lagophthalmos. A plethora of static and dynamic surgical techniques have been described
for lower eyelid repositioning. This article provides an approach to management of
the paralytic lower eyelid, including a summary of existing techniques, case examples,
and surgical technique for in-office lower eyelid suspension using a palmaris longus
tendon graft.
Keywords
facial paralysis - eyelids - plastic surgery - paralytic lagophthalmos - lower eyelid
retraction
