Wound Healing Society

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Lower Eyelid Reconstruction By Mid Face Lift.
Seung Han Song, Su Yeon Bae, Chang Hwan Ahn.
Chungnam National University Hospital, Daejeon, Korea, Republic of.

BACKGROUND
Clinically, lower eyelid skin defect is caused by skin tumor, trauma, and lower blepharoplasty. Since the lower eyelid is located in the mid-face area and is a very important position for cosmetics, special consideration for the subsequent scarring as well as functional reconstruction is needed. We report the results of cosmetic and functional results with single or combined use of midface lift and skin graft depending on the location and size of the defect.
METHIDS

From 2010 to 2016, 84 patients with lower eyelid skin defect were included. The causes were as follows: skin malignant tumors in lower eyelid (37 cases), lower eyelid plasty (32 cases), benign tumors (6 cases), and trauma (11cases). In 63 patients, only supraperiosteal lift (39) or full subperiosteal lift (20) were performed.
RESULTS
When the defects were mainly in the middle and outer part of the lower eyelid, reconstruction was performed using a midface lift technique. A superficial cheek lift was performed when the defect site was less than 1.5 cm, and a full subperiosteal midface lift was performed when the defect site was 1.5 cm~2 cm or more. In this way, reducing the necessity and area of skin graft and place the scar in the subcilliary area. Thus, we obtained satisfactory results in cosmetics.
CONCLUSION When the defects were mainly in the middle and outer part of the lower eyelid, reconstruction was performed using a midface lift technique. A superficial cheek lift was performed when the defect site was less than 1.5 cm, and a full subperiosteal midface lift was performed when the defect site was 1.5 cm~2 cm or more. In this way, reducing the necessity and area of skin graft and place the scar in the subcilliary area. Thus, we obtained satisfactory results in cosmetics.
LEGENDFig.1., Fig.2.


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