Lower eyelid surgery to lower tarsus and lower eyelid muscle

Abstract

Objective To investigate the method of relocating the lower eyelid surgery to increase the vertical height of palpebral fissure and improve the eye of introverted and make the face more beautiful. Methods Based on the principles of the lower eyelid traction system, 79 cases underwent eyelid surgery by plicating the lower eyelid tarsus and the lower eyelid retractor. Along the lower eyelid eyelashes edge at the lateral 1/3, cut the skin layer by layer to the pretarsal orbicularis oculi muscle to locate the inferior tarsal muscle behind the orbital fat, under the tarsal plate lower edge with the lower eyelid retractor plicating suture , remove the excessive skin about 2-3mm, observe the lower eyelid down to adjust to the satisfaction of the suture incision. Results In the group of 79 cases, 70 cases have been followed up for an average of 6 months, the long-term results are stable, no contraction and tarsal eversion and other obvious complications are noted. The distances between the lower eyelid lateral 1/3 point and the alar margin from shorter than before surgery (2.0 ± 0.2) mm, and between the angulus oculi laterallis and the alar margin from shortening distance (3.3 ± 0.7) mm. Conclusions Relocating the lower eyelid surgery can increase the palpebral fissure height and improve the palpebral fissure introversion, and the proportion of the face. This method is simple, reliable and easy to apply. Key words: Lower eyelid muscle; Lower eyelid traction systen; Down the lower eyelid