Blepharoplaty for Upper Eyelid Retraction

Overview

Upper eyelid retraction is the abnormal elevation of the upper eyelid margin. Most common cause of upper eyelid retraction is thyroid eye disease. It may be unilateral or bilateral, and may lead to dry eyes, secondary epiphora, irritation, lagophthalmos, exposure keratopathy, and cosmetic deformity.

 

Features

To reduce the symptoms of upper lid retraction (dry eyes, secondary epiphora, irritation, lagophthalmos, exposure keratopathy…) and improve the cosmetic deformity.

 

Procedure

Graded full-thickness blepharotomy: After local anaesthesia, a lid crease incision is created, followed by dissection through orbicularis muscle and septum. Levator aponeurosis, muller muscle (both responsible for lifting the upper eyelid) and conjunctiva are incised just superior to the tarsal plate. The incision is extended in a full-thickness fashion, nasally and temporally, with preserving a central pedicle, to produce the desired lid height and contour.

 

Notification

Risks & complications

Under or over over-correction, higher lid crease, recurrence, etc.

At times, orbital decompression may be necessary as an initial step (prior to this oculoplastic surgery) if big eyeballs or bulging eyes (marked proptosis) are present.

 

Estimated Cost

The procedure cost is about 26,400 NTD per eye, prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.

Before

After