Purpose: The purpose of this presentation is to correct complications after upper blepharoplasty procedure not only to create aesthetically pleasing Oriental upper eyelid but also to correct functional problems effectively.
Materials and Methods: ³À½]" />From 1988 to 2006, authors reviewed 364 cases(480 eyes) of complications after Asian upper blepharoplasty. The complications range from the relatively innocuous and easily treated such as incisional milia to a most devastating outcome of ectropion. The complications were divided immediate and late complications. The late complications most commonly seen in the Asian blepharoplasty are related to the height, shape, and permanence of the eyelid crease. The most common complication was failure of lid crease formation, full lid and asymmetry. Other complications include triple crease, ptosis), lagophthalmos due to excessive skin removal or lid retraction, inclusion cyst, hypertrophic scar. About 40 % of complications required revisional surgeries were treated by early adjustment. About 60 % of complications required revisional surgeries were treated by late reoperation, at least 6 months after surgery. The en-bloc resection of scar tissue and adhesions, resection of excess skin, redistribution of tissues, refixation to the superior margin of tarsal plate, reattachment of aponeurosis to the new position, levator shortening, frontalis muscle flap, relocation of lid fold, fat or dermograft and other corrective procedure were used in 200 cases revision blepharoplasties.
Results: Follow-up period ranged from 6 months to 16 years. Majority of patients satisfied with results and were excellent or good. However, a few patients grade to unsatisfactory and more revision were needed.
Conclusion: The correction of the complication of the upper eyelids following blepharoplasty is not so easy. Even if early or late reoperation can be used effectively, early revision, immediate or seven days after initial operation is better than later reoperation.