Management of eyelid ectropion and lower lid recession

Eyelid ectropion and lower lid recession are mainly seen as a complication of traumatic scarring of the eyelids and after blepharoplasty. The manifestation of the conjunctiva of the eyelid is exposed, the eyelid fissure can not be completely closed when the eyes are closed, and the sclera is exposed, often resulting in chronic conjunctivitis and affecting the appearance of the appearance of the beauty of the patient, the patient is eager to seek medical treatment. Currently, there are three main solutions: 1, scar laxation + skin grafting: although this method can partially or completely correct the ectropion, but due to the different color of the skin piece and the surrounding skin, it can not solve the problem of cosmetic appearance, unless there are a lot of eyelid skin defects, usually not as the first choice; 2, scar laxation (or excision) + local flap transfer: it can be a better correction of the scar ectropion, and to a certain degree, better solution to the appearance of the problem of beauty. The problem of beauty of appearance, for the lower eyelid skin scar is not big patients, can be considered to use, usually there are nasolabial groove flap, cheek flap and upper eyelid flap can be used, the efficacy is generally more satisfactory, can be used as a surgical option; 3, the outer canthus anchoring: mainly for the lower eyelid recession after lower eyelid bag surgery. This procedure includes canthopexy, lateral canthopexy, lateral canthoplasty, Hamra lower blepharoplasty with preservation of orbital fat, and transthoracic cheek elevation, etc. Because the incision of this type of surgery is in the outer canthus and mostly transverse, it generally has better recovery, sure efficacy, and leaves no scar, which is a better method to correct lower eyelid ectropion and lower eyelid recession that is popular in the international arena nowadays, but there are certain indications for the use of this type of surgery However, there are certain indications and complications for the use of this type of surgery, which should be mastered with care.