A 52-year-old woman underwent a secondary cosmetic blepharoplasty for repair of residual dermatochalasis. After this procedure vertical diplopia was noted. Ultrasound examination and the findings at operation were consistent with trauma to the inferior rectus muscle. We present this as an additional complication of cosmetic blepharoplasty.

BACKGROUND Blepharoplasty in Asia is almost synonymous with double-eyelid surgery, which refers to the creation of a palpebral fold by supratarsal fixation in patients with no visible or a low supratarsal crease. The best way to develop the supratarsal crease is to achieve a permanent attachment between the dermis and the levator aponeurosis/tarsal plate at an appropriate height. OBJECTIVES T...

Figure I Bilateral blepharoplasty wounds showing induration, breakdown, and crusting. asE B p?g ~~~~~~~~~~~~~~~~~~~........e:. Case report A 72-year-old man underwent bilateral blepharoplasty for dermatochalasis. Four weeks later he noted increasing redness and swelling in the healed brow incisions. These swellings bled intermittently, scabbed over, and became progressively more prominent (Fig ...

Background: The prevention of scleral show is truly one of plastic surgery’s Holy Grails. This postoperative problem may be considered subtle, but it represents the most common cause of the “operated” look that we all strive to avoid. Of course, the postoperative fear of a true ectropion is all too common. These concerns, borne out in patient results following the traditional skin-muscle techni...