State of the art in Blepharoplasty by Paraskevas Kontoes

Author:Paraskevas Kontoes
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Excessive traction, which can lead to the loss of lower eyelid tarsal plate contact with the sclera

Asymmetric traction of the two eyelids

Provided these points have been considered, the needle is inserted deep in the muscle and underlying structures, at the desired point of vector, on the orbital rim scratching the bone to secure periosteum involvement, and the knot is gradually tied. After needle insertion and before passing it through the tissue, an upward movement with the needle holder ensures strong and stable position and correct plane of insertion. If the upward movement is loose, the needle is removed and reinserted in a deeper plane to involve an en block bite of all the structures down to the periosteum (Fig. 5.11).

Fig. 5.11The needle is inserted in deep plane to involve all structures down to the periosteum of the orbital rim. An upward movement of the needle after insertion and prior to pulling it out of the tissue secures correct plane of insertion

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