Efficient correction of posttraumatic lower lid retraction

: The paper describes pathogenesis of posttraumatic or postoperative lower lid retraction and selective approach for its correction. Temporary lid retraction caused by edema, massive hematoma or scar tissue traction should be managed conservatively by means of modern physiotherapy and cosmetic techniques. Permanent retraction requires combination of several surgical methods: free grafts and local tissue reconstruction, pedicle flap, canthopexy, canthoplasty, miopexy, lower lid support with grafts and implants. Each method addresses certain aspects of the deformation.