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The Relationship of Intraoperative and Postoperative Lid Levels

Bruce B. Becker, MD; F. Dean Berry, MD

Arch Otolaryngol Head Neck Surg. 1992;118(9):959-962.

Abstract
• Sixty-seven consecutive patients (134 lids) undergoing lower lid blepharoplasty with skin excision had preoperative, intraoperative, and postoperative photographs taken in a sitting position. There was correlation between intraoperative and postoperative lower lid levels in 119 (89%) of 134 lids. There were nine lids with normal intraoperative lower lid level but postoperative lower lid retraction (scleral show). All nine of these lids had preoperative lower lid retraction. This demonstrated a high correlation between intraoperative and postoperative lower lid levels in the sitting position in lower lid blepharoplasty with skin excision, providing preoperative lower lid retraction is not present, horizontal lid laxity is corrected, and cicatricial lid retraction does not occur.

(Arch Otolaryngol Head Neck Surg. 1992;118:959-962)

Author Affiliations
From the Jules Stein Eye Institute and Department of Ophthalmology, UCLA School of Medicine, Los Angeles, Calif (Dr Becker), and The Vision Care Center, Fresno, Calif (Dr Berry).

Footnotes
Accepted for publication March 12, 1992.

Presented at the annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Kansas City, Mo, September 28, 1991.

Reprint requests to 5363 Balboa Blvd, Suite 246, Encino, CA 91316 (Dr Becker).

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