Lower Eyelid Surgery
The same puffiness and tissue response that occurs in the upper eyelids may also develop in the lower eyelids. Lower eyelid retraction may result in exposure of the white portion of the eye. This may contribute to eye exposure, dryness, and irritation. Surgical procedures can improve the protection of the eye and the appearance of the lower eyelid. With lower eyelid surgery, the scarred muscle can be loosened and spacer material inserted to boost the eyelid upward. Spacer grafts used might include ear cartilage, porcine, or dermal implants. To be able to reposition the outer edge of the lower eyelid upward, the outside tendon must be tightened.
Despite meticulous measurements of spacer materials, the eyelids may heal differently resulting in eyelid asymmetry. Frequently, the asymmetry is not bothersome and further surgery can be avoided. Additional “touch-up” procedures are infrequently indicated to correct significant asymmetries. Significant lower eyelid retraction repair is typically considered medically necessary and is usually covered by most insurance carriers. At the time of lower eyelid retraction repair, patients may elect to have excessive fatty tissue and redundant skin folds excised. Lower eyelid blepharoplasty is frequently considered cosmetic and not covered by most insurance carriers.