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Tarsal Strip Resuspension with
Full-Thickness Lower Eyelid Skin Graft

Actual surgery photos

This unfortunate patient presented with advanced lower eyelid retraction due to both skin and full-thickness eyelid shortage following a poorly-performed transcutaneous lower eyelid blepharoplasty.

The repair required providing new eyelid tissue and support by (1) grafting new skin obtained from a donor site located behind the patient's ear, and (2) reinforcing the eyelid's structural system by creating a "new" lateral canthal tendon (tarsal strip resuspension).

Please visit the links above for a more detailed description of these various procedures.
1. Before

2. Tarsal strip made, skin incised 3. Strip attached to bone

4. First wound closed 5. Skin graft applied 6. Dressing over graft
7. Donor site behind ear 8. Pressure patch 9. Two months later

Surgery performed by Frank Meronk, Jr., M.D.


Related: View results after upper eyelid skin graft

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