Lower Eyelid Retraction: Middle/Posterior Lamellar Correction Using Autologous Grafts

Lower eyelid retraction is a challenging complication associated with blepharoplasty. Understanding the preoperative and intraoperative risk factors for development will minimize complications and to design a customized approach for repair when it does occur. As the majority of cases of lower eyelid retraction result after aesthetic lower blepharoplasty, this chapter focuses primarily on the correction of lower eyelid retraction using autologous posterior lamellar spacer grafts. The choice of a posterior lamellar spacer graft is complex and should be tailored to each patient.