{"id":20801,"date":"2023-08-23T08:05:08","date_gmt":"2023-08-23T14:05:08","guid":{"rendered":"https:\/\/www.artefacial.com\/?p=20801"},"modified":"2026-05-28T17:21:23","modified_gmt":"2026-05-28T23:21:23","slug":"surgical-treatment-of-lower-eyelid-retraction","status":"publish","type":"post","link":"https:\/\/www.artefacial.com\/en\/surgery\/surgical-treatment-of-lower-eyelid-retraction\/","title":{"rendered":"Surgical treatment of lower eyelid retraction"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"20801\" class=\"elementor elementor-20801 elementor-20780\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ff399d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0ff399d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3fbb284\" data-id=\"3fbb284\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0cee45f elementor-widget elementor-widget-text-editor\" data-id=\"0cee45f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"\/en\/info\/treatment-of-complications-of-cosmetic-eyelid-surgery\/\">Lower eyelid retraction<\/a> is defined as the inferior displacement of the eyelid margin that exposes the lower part of the eye and enables visibility of the sclera (scleral show). Patients may complain of irritated eyes, light sensitivity, and tearing. The retraction may cause exposure and excessive dryness of the cornea, a potentially serious condition. In many cases, it also causes an esthetic concern for the patient.\u00a0<\/p><p>Lower eyelid retraction is the most common and feared complication after cosmetic surgery of the <a title=\"\" class=\"aalmanual\" target=\"_self\"   href=\"\/en\/info\/lower-eyelid-blepharoplasty\/\">lower eyelids<\/a> and cheeks. Retraction is usually bilateral, although it can affect only one eye or be asymmetric.\u00a0<\/p><p>Surgical repair is complex and requires multiple techniques to correct eyelid position and prevent recurrence of the retraction. One surgery may be sufficient to address the problem, but some patients require additional interventions.\u00a0<\/p><h2><strong>Surgical technique to repair eyelid retraction: 4 steps to achieving success.\u00a0\u00a0<\/strong><\/h2><h3>\u00a0Step 1: Fat transfer<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-be40ea6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"be40ea6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-313fe14\" data-id=\"313fe14\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-186707f elementor-widget elementor-widget-text-editor\" data-id=\"186707f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"\/en\/info\/facial-fat-transfer\/\">Facial fat transfer<\/a> is a critical component of the operation. Fat is harvested from the abdomen or thigh and carefully processed before being transferred onto the cheek with infiltration cannulas specially designed for this area.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a01755c\" data-id=\"a01755c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-857002a elementor-widget elementor-widget-image\" data-id=\"857002a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/transferencia-de-grasa.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Fat transfer\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjA3ODQsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjNcLzA4XC90cmFuc2ZlcmVuY2lhLWRlLWdyYXNhLndlYnAifQ%3D%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D&apos;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&apos; viewBox%3D&apos;0 0 1024 683&apos;%2F%3E\" data-src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/transferencia-de-grasa.webp\" class=\"lazy-load attachment-large size-large wp-image-20784\" alt=\"Fat transfer\" data-srcset=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/transferencia-de-grasa.webp 1024w, https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/transferencia-de-grasa-300x200.webp 300w, https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/transferencia-de-grasa-768x512.webp 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9aa6410 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9aa6410\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c791857\" data-id=\"c791857\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e41344 elementor-widget elementor-widget-text-editor\" data-id=\"1e41344\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This step provides support to the lower eyelid and midface, increasing the success rate of the operation.\u00a0<\/p><h3>Step 2: Spacer graft\u00a0<\/h3><p>The next step consists of harvesting a mucosal graft from the hard palate. The palate graft works as a spacer to increase the vertical length of the lower eyelid. Harvesting a graft of sufficient height and length is essential to provide adequate support for the eyelid.\u00a0<\/p><p>After harvesting the graft, an incision is made on the posterior side of the eyelid, between the tarsus and the lower eyelid retractors. The graft is sutured to the eyelid&#8217;s soft tissue with absorbable stitches.\u00a0<\/p><h3>Step 3: Midface lift\u00a0<\/h3><p>A <a href=\"\/en\/info\/cheek-lift-midface-lift\/\">midface lift<\/a> is then performed. This step is crucial to correct the retraction as it allows the surgeon to recruit skin from the cheek without needing a skin graft. When possible, avoiding a skin graft is beneficial to achieve the best cosmetic result.\u00a0<\/p><p>\u00a0The cheek is elevated with non-absorbable sutures. A slight overcorrection is necessary, as the tissues tend to settle with time.\u00a0<\/p><h3>Step 4: Canthoplasty\u00a0<\/h3><p>Lastly, a <a href=\"\/en\/info\/canthal-procedures\/\">canthoplasty<\/a> is necessary. The procedure consists of tightening the lateral canthal tendon at the outer corner of the eye. A canthoplasty provides support to the lower eyelid and upper cheek. Without a canthoplasty, the risk of retraction recurrence is extremely high. Therefore, this is a crucial step to increase the operation&#8217;s long-term success.\u00a0<\/p><h2><strong>Recovery after repair of lower eyelid retraction\u00a0<\/strong><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f75e92b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f75e92b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-79ccbfb\" data-id=\"79ccbfb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4605245 elementor-widget elementor-widget-image\" data-id=\"4605245\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Recovery after repair of lower eyelid retraction\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjA4MDUsInVybCI6Imh0dHBzOlwvXC93d3cuYXJ0ZWZhY2lhbC5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjNcLzA4XC9yZWNvdmVyeS1hZnRlci1yZXBhaXItb2YtbG93ZXItZXllbGlkLXJldHJhY3Rpb24ud2VicCJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"576\" src=\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns%3D&apos;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&apos; viewBox%3D&apos;0 0 1024 576&apos;%2F%3E\" data-src=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction-1024x576.webp\" class=\"lazy-load attachment-large size-large wp-image-20805\" alt=\"Recovery after repair of lower eyelid retraction\" data-srcset=\"https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction-1024x576.webp 1024w, https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction-300x169.webp 300w, https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction-768x432.webp 768w, https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/recovery-after-repair-of-lower-eyelid-retraction.webp 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-249a1bf\" data-id=\"249a1bf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b10be5 elementor-widget elementor-widget-text-editor\" data-id=\"8b10be5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Surgical repair of lower eyelid retraction is an outpatient procedure. Patients are discharged on the same day as their operation and will wear an eye patch for one week. If the retraction is bilateral \u2013 that is, it affects both eyes \u2013 it may be necessary to operate one eye at a time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-792782e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"792782e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31414a5\" data-id=\"31414a5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60bd3eb elementor-widget elementor-widget-text-editor\" data-id=\"60bd3eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bruising and swelling should be expected, lasting up to 2 weeks after the operation. Fortunately, pain is minimal and can be managed with NSAID medications.\u00a0<\/p><p>Results can best be appreciated one month after surgery.\u00a0<\/p><p>Lower eyelid retraction repair is challenging but can be achieved with the right surgical approach.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32a2c34 elementor-widget elementor-widget-video\" data-id=\"32a2c34\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=5RTJJJUylEg&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;show_image_overlay&quot;:&quot;yes&quot;,&quot;image_overlay&quot;:{&quot;url&quot;:&quot;https:\\\/\\\/www.artefacial.com\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/surgical-treatment-of-lower-eyelid-retraction.webp&quot;,&quot;id&quot;:20803,&quot;size&quot;:&quot;&quot;,&quot;alt&quot;:&quot;Surgical treatment of lower eyelid retraction&quot;,&quot;source&quot;:&quot;library&quot;},&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t\t\t<div class=\"elementor-custom-embed-image-overlay\" style=\"background-image: url(https:\/\/www.artefacial.com\/wp-content\/uploads\/2023\/08\/surgical-treatment-of-lower-eyelid-retraction.webp);\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\" role=\"button\" aria-label=\"Play Video about Surgical treatment of lower eyelid retraction\" tabindex=\"0\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-play\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M838 162C746 71 633 25 500 25 371 25 258 71 163 162 71 254 25 367 25 500 25 633 71 746 163 837 254 929 367 979 500 979 633 979 746 933 838 837 929 746 975 633 975 500 975 367 929 254 838 162M808 192C892 279 933 379 933 500 933 621 892 725 808 808 725 892 621 938 500 938 379 938 279 896 196 808 113 725 67 621 67 500 67 379 108 279 196 192 279 108 383 62 500 62 621 62 721 108 808 192M438 392V642L642 517 438 392Z\"><\/path><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Lower eyelid retraction is defined as the inferior displacement of the eyelid margin that exposes the lower part of the eye and enables visibility of the sclera (scleral show).<\/p>\n","protected":false},"author":2,"featured_media":20803,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[896,22],"tags":[435,889,843,894,882],"class_list":["post-20801","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-surgery","tag-canthal-suspension","tag-cosmetic-surgery-of-the-face-in-santa-ana","tag-eyelid-doctor-escazu","tag-eyelid-retraction","tag-facial-fat-transfer-in-escazu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - 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