Tarsal strip procedure and plication sutures combined with lower blepharoplasty

Abstract

Acquired ectropion may result from both horizontal lower eyelid laxity and attenuation of the lateral canthal tendon. The tarsal strip procedure ensures a normal horizontal length of the lower eyelid and also corrects the attenuated lateral canthal tendon. Lateral plication sutures, which unite the temporal lower lid orbicularis muscle to periosteum of the lateral orbital rim, can also be used to suspend lower eyelid skin. This article describes the technique of combining the tarsal strip and plication suture procedure with a lower eyelid blepharoplasty.