LOWER LID BLEPHAROPLASTY



Lower lid bags and deep „tear trough“ (junction between lid and cheek).


Pre-operative markings of the hollow area, which needs to be
filled with transposed fat.


The fat, which forms the lower lid bag, is not exscised, but is „transposed“
 into the hollow.


The lid itself and the lid muscle (orbicularis) are tightened.


After minimal „excess“ skin exscision, the sutures are placed.


One day after surgery. Swelling and bruising are common.





One week after surgery, before suture removal.



One month after the operation.



UPPER LID BLEPHAROPLASTY



Pre-operative skin marking.


Precise skin inscision.


„Excess“ skin exscision.


After redundant skin exscision.


Skin suture placement.




UPPER LID BLEPHAROPLASTY WITH INTERNAL BROW ELEVATION



Very „heavy“ eyebrows, which are depressing the upper lid skin.



During blepharoplasty, the eyebrows are elevated.



One month after the operation. The patient reports  that the heavyness
Sensation in the eyebrow area is gone.



Hemangioma of the eyelids


Capillary hemangioma in a small child.


Spontaneous involution of hemangioma, with residual skin and connective tissue.


After exscicion and skin grafting from behind both ears.


One month after the operation.



Six months after surgery.


Barely visible scar behind ear.



CORRECTION OF CONGENITAL EYELID DISORDERS


Congenital defect of pat of the upper lid (coloboma).


Lateral cantholysis.


Lateral tissues are mobilized with McGregor Z-plasty.


End of reconstruction.


One year after reconstruction.




Congenital retraction of the left lower lid.


The lower lid rteractors are recessed
 and a hard pallate mucosa graft is placed.


Final result.



CORRECTION OF A DROOPY LID (PTOSIS)


Congenital ptosis of the left upper lid.


Trans-conjunctival approach to the levator muscle.


Plication (folding) of the levator.


Checking of eyelid height during surgery in local anesthesia.


Final result.



LOWER LID ECTROPION WITH MEDIAL CANTHAL TENDON LAXITY



Long-standing ectropion of the lower lid with a lax medial canthal tendon (MCT).


Trans-conjunctival repair of MCT.


Post-operative result.



EYELID TUMOUR AND RECOSNTRUCTION SURGERY


Basal cell carcinoma of the lower lid.


After tumour resection, the posterior lamella is reconstructed with a tarsal graft from
 the upper lid.


The anterior lamela is reconstructed with a sliding skin flap.


The final result of recosntruction.



TEAR DUCTS SURGERY


EXTERNAL DACRYOCYSTORHINOSTOMY (DCR)


A very enlarged tear sac, due to chronic inflammation.


Passage through the thin lacrimal bone.


Osteothomy (creating an opening in the thick bone).


Opening of the tear sac.


Insercija silikonskog stenta.


Attaching the tear sac to the nasal mucosa.


Skin sutures.



Barely visible scar one month after the operation.



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