"Complications in Blepharoplasty and How to Resolve Them"

Marcos-Antonio Rodriguez Perales
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Abstract

Any type of eyelid correction or postoperative blepharoplasty complication should be well managed and studied before attempting its correction, as it could lead to a worsening of the original alteration. Although postoperative scars in a blepharoplasty are relatively rare, they can generally be improved by massage and late with the application of topical corticosteroids, with the understanding that their best use is during the first twelve months. An early intervention should be avoided as this can worsen the result and rarely improve the final result, when there is a healing problem, remembering that stress is a determining factor in the final result. The laxity of the canthus tendons should always be evaluated either by directly pulling the eyelid down, with an eyelid glide test, the impingement test, and a poor eyelid position prior to surgery should always be documented. In these cases, the surgeon who operates blepharoplasty must have a perfect knowledge of the management of the canthal tendons and have within his surgical resources the realization of the canthal application or the repositioning of the palpebral canthal tendon.
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眼睑成形术中的并发症及解决方法
任何类型的眼睑矫正或术后眼睑成形术并发症都应在尝试矫正前进行良好的管理和研究,因为它可能导致原有改变的恶化。虽然眼睑成形术术后的疤痕相对罕见,但通常可以通过按摩和后期局部使用皮质类固醇来改善,要明白在最初的12个月里使用皮质类固醇是最好的。应该避免早期干预,因为这可能会恶化结果,很少会改善最终结果,当有一个愈合问题时,记住压力是最终结果的决定性因素。要评估眼角肌腱的松弛程度,可以直接下拉眼睑,同时进行眼睑滑动试验、撞击试验,手术前记录眼睑位置不佳的情况。在这些情况下,进行眼睑成形术的外科医生必须对眦肌腱的处理有完善的了解,并在他的手术资源范围内实现眦应用或眼睑眦肌腱的重新定位。
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