La blefaroplastia inferior es la cirugía que busca la mejora del párpado inferior, Illustrated representation of a transconjunctival lower blepharoplasty. Many translated example sentences containing “blefaroplastia inferior” – English- Spanish de Párpados (Blefaroplastía) transconjuntival del párpado inferior. In the lower eyelids, we performed lower transconjunctival blepharoplasty Nas pálpebras inferiores, foi realizada blefaroplastia inferior transconjuntival.

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This young woman underwent lower lid surgery to improve her appearance and remove her lower lid fat pockets.

Patients must be taught to check their vision one eye at a time. This gives rapid relief of symptoms, rapid healing, the ability to monitor vision, and the absence of pressure on wounds caused by a patch.

Eyelid bags

Improved vision needs to be monitored by hospital staff b,efaroplastia by the patient for stability for 1 to 3 days after treatment is stopped. Many older patients do not have tearing with one obstructed canaliculus due to decreased tear production. Lower eyelid of the same patient shown in Figures 4 and 5 after re-draping of the lower eyelid skin no skin graft transconjyntivalas well as lower eyelid elevation and scar release with posterior hard palate mucosal graft.

Blepharoplasty is a widely practiced successful operation.

However, it will always be less cosmetic than a transconjuntifal blepharoplasty done conservatively, and it may take up to one year to blend in. Similarly, for a lower lid blepharoplasty, the medial extent of the lower eyelid incision should stop just lateral to the punctum, whether it is conjunctival or subciliary in nature. View at Google Scholar T.

The swelling can also cause the puncta to turn inwards or evert by swelling or tissue contraction caused by incision lines or laser resurfacing, which also causes epiphora. Remember there is an increased rate of dehiscence of the periosteal trsnsconjuntival in these circumstances. Adjunctive procedures include brow ptosis repair internal trans-blepharoplasty, direct, coronal, or endoscopicptosis repair, lacrimal gland suspension, eyelid lengthening, and lower eyelid tightening or lateral canthopexy.


Proper repair is an art in itself. Occasionally instead of scar hypertrophy, epithelial inclusion cysts occur. If a definite levator laceration is observed, it should be repaired if it is causing ptosis.

Similarly, corneal epithelial breakdown can result in transient pain, foreign body sensation and tearing. An effective emergency contact arrangement needs to be in place blefaroplasgia prompt assessment and intervention can be carried out [ 33 ]. Lastly, there inrerior occasional patients who develop unrelated cranial nerve palsies some weeks or months after surgery by chance alone.

Postoperative hemorrhage will be noted by the patient if he or she is properly educated as to what to look for—unusual or asymmetrical pain, decreased vision, or proptosis. A test spot can be offered the patient although a good result with the test spot is not a guarantee of subsequent good results.

The risk of suture transconjunrival formation is decreased by using prolene sutures and removing them completely at the appropriate time. Figure 2 shows an example of upper lid retraction secondary to upper lid overcorrection. It must be understood that old photographs do not represent a guarantee or even a goal, but rather act as a guidepost. The key in management is to aid healing of the corneal epithelium as rapidly as possible to prevent infective keratitis.

Effective techniques do exist to treat most, if not all, complications, which may arise. If persistent, a superolateral skin excision with crease reformation will raise the persistently hooded side. Ophthalmic ointment and patching can be utilized but a bandage contact lens for 12 to 24 hours for rapid and comfortable corneal healing without unnatural pressure on suture blefarkplastia is helpful.

A chemical peel was then applied to tighten her lower lid skin. This patient wanted to blefaeoplastia her lower lid eye bags removed for a more youthful appearance. She underwent upper and lower lid blepharoplasty. Patients with vitiligo may have an increased risk of hypopigmentation.

Ice packs or frozen masks are too heavy, which may damage the eyelid tissues or dehisce wounds. One way to identify levator versus septum is to remember that the septum fuses with the orbital arcus marginalis.


Understanding the differences in anatomy in the occidental and oriental eyelid is essential when performing blepharoplasty surgery in this population. This fast and predictable approach avoids opening the anterior wound and also avoids overcorrection and scar abnormalities.

Bolsas palpebrales, Eyelid bags | Dra. Estrella Fernández

Some of the fat was in excess was repositioned to help prevent any hollowing after surgery. Excessive bruising can lead to a prolonged recovery, infection, cicatrisation, and skin pigmentation. To minimize bruising, the patient should avoid using anticoagulative drugs, control his or her hypertension if present, and avoid postoperative trauma, bending, and straining [ 4 ].

However, because of the complex structure and function of the eyelids, the potential for complications does exist. Intraocular pressure is back to normal. An upper and lower lid blepharoplasty was performed. Endoscopic brow lift, upper and lower lid blepharoplasty with fat repositioning, lower lid chemical peel, fat grafting to midface. Ice water compresses should be utilized continuously for 3 days except when eating or sleeping.

Increased risk exists in the patient with proptosis, such as a patient with thyroid eye disease tranxconjuntival the patient with a large or projecting glaucoma bleb. Although she is quite young, lower eyelid bags affect people of all transcconjuntival due to genetics.

Only rarely will a deep loculated undrained hematoma be found; usually one sees streaking hemorrhage and air, more likely merely hallmarks of the surgical trauma.

This patient has ptosis in his upper lids and excess fat pockets in his lower lids. Blindness and embolic stroke can occur with accidental intravenous or intra-arterial injection of these materials, particularly near the supraorbital vessels [ 1011 ].

Upper lid ptosis repair, upper lid blepharoplasty and lower lid blepharoplasty using a lower lid orbicularis suspension flap skin-muscle flap technique.

Finally, management of complications is just as important as surgical technique.