Lower eyelid retraction following blepharoplasty.

Thirty consecutive patients with lower eyelid retraction after blepharoplasty were treated surgically with varying degrees of success. Successful outcome depended on various anatomic and pathologic factors, including the time elapsed since blepharoplasty, the prominence of the globe and its effect on eyelid contour, and the degree of septal or skin involvement. Satisfactory results were also dependent on surgical techniques used. We discuss several surgical techniques and offer advice concerning the selection of a surgical procedure in light of various pathologic parameters.