Eyelid ectropion: aesthetic and functional issues

Aim – to present the results of the author's treatment method for postoperative complications in the lower eyelid after blepharoplasty.

Material and methods. Patients in the postoperative period after blepharoplasty were included in the study (n = 11). All patients had age-related changes in the skin of the upper and lower eyelids before the surgery. After surgery, the patients had a complication in the form of an inversion of the lower eyelid. In the early postoperative period (up to 6 months), all patients with ectropion underwent the author's treatment technique using an erbium laser (Er:YAG, 20940 nm).

Results. The errors in the diagnosis and planning of the volume of surgical intervention, surgical errors are the main causes of complications after blepharoplasty affecting the function of the eye. In order to avoid the complications, it is necessary to take into account not only the degree of atrophy of the eyelid skin, but also the structural features of the eyelids and the periorbital region. The study proved that the author's method of treatment using an erbium laser (Er:YAG, 20940 nm) gives positive results. Observation of patients during 6 months after the treatment revealed no recurrence of inversion of the lower eyelids and the need for additional therapy.