PMC3819113_01
Preoperative view. In the primary position of gaze, the distance from the lower limbus of the right cornea to the upper margin of the eyelid was approximately 2 mm.
eplasty13e55_fig1.jpg
PMC3819113_01_eplasty13e55_fig1.jpg
F1
Five years later, she finally decided to undergo corrective surgery (Fig 1).
Operative findings. (a) The incision in the lower eyelid was made along the scar produced by the previous surgical procedure. (b) The harvested auricular cartilage was placed between the lower edge of the tarsus and the posterior layer of the lower eyelid retractors.
eplasty13e55_fig2.jpg
PMC3819113_01_eplasty13e55_fig2.jpg
F2
Then, an incision was made in the lower eyelid along the scar caused by the previous surgical procedure (Fig 2a). Auricular cartilage was harvested via an incision made in the reverse side of the external ear and placed between the lower edge of the tarsus and the posterior layer of the lower eyelid retractors (Fig 2b).
Postoperative view. (a) Sufficient elevation of the lower eyelid was achieved. (b) The corrected right lower eyelid moved down sufficiently during downward gazing.
eplasty13e55_fig3.jpg
PMC3819113_01_eplasty13e55_fig3.jpg
F3
In addition, the corrected right lower eyelid moved down sufficiently during downward gazing, and the patient appeared to be extremely happy with the results (Fig 3).