CORRECTION OF ECTROPION AFTER LOWER BLEPHAROPLASTY

Abstract

Cicatricial ectropion after lower blepharoplasty is a complication that compromises anatomical function and ocular protection, resulting in conjunctival exposure and irritation. This study aimed to report the clinical evolution and therapeutic approach of a patient who developed ectropion after powerblepharoplasty, analyzing the intraoperative and postoperative factors associated with the condition. The methodology consisted of a detailed evaluation of functional tests (Snap-back test and Distraction test), initial conservative treatment, and surgical approach when conservative measures failed. Given the persistence of eyelid laxity, surgical correction was indicated, adopting the tarsal strip technique for repositioning the lower eyelid. The results demonstrated that the condition evolved into a moderate ectropion, justifying surgical intervention, which provided satisfactory outcomes in terms of eyelid functionality and aesthetics. Thus, the findings of this study reinforce the importance of early
action and a well-planned therapeutic management in the prevention and treatment of postblepharoplasty complications. Furthermore, they highlight the relevance of the tarsal strip technique in restoring eyelid dynamics, suggesting that future research explore approaches that minimize the risks of complications and expand the criteria for functional evaluation of the lower eyelid.