Midface lifting for the repair of lower lid retraction

The goal of lower lid blepharoplasty is to restore the youthful appearance of the lower eyelids. However, a failure to appreciate anatomic findings preoperatively, and/or a failure to address these findings at the time of lower eyelid surgery, may put the patient at risk for developing lower lid retraction. Lid retraction can be a devastating complication for both the patient and the physician. Thus, it is important to recognize the contributing factors to this condition and to appreciate the detailed surgical approach to enable a successful repair [1-4].