[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]

Autologous Tendon Sling

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]It is also called autologous ligament suspension of the lower eyelid. This technique is mainly indicated for patients with ocular socket indentation and moderate palpebral ectropion due to trauma or a previously failure failed lower blepharoplasty , whichand realizes stronger lower eyelid support. This surgery harvests a segment of palm fascia tendon (useless during adulthood), which, after the subcutaneous relaxation of scar adhesion via an incision at the inner and outer corners of the lower eyelid, is inserted into the subcutaneous channel and emplaced at the site of palpebral ectropion, and then is tightened and fixated at both ends to the periosteum at the inner and outer corners of the orbital bone. The tendon provides sufficient tension like a strong cable and effectively elevates the extroverted eyelid and suspends it to the parallel position of the eyelash, which radically eradicates potential recurrence or adhesion and is an ultimate solution for the treatment of refractory palpebral ectropion. [/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible” margin_top=”20px” margin_bottom=”20px” background_color=”rgba(255,255,255,0)”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_separator style_type=”none” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” class=”” id=””/][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”0″ padding_bottom=”0″ padding_left=”0″ padding_right=”0″ hundred_percent=”yes” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-content”][fusion_builder_row][fusion_builder_column type=”1_2″ last=”no” spacing=”no” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”solid” padding=”0″ margin_top=”” margin_bottom=”” animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=”bd-right”][fusion_text]

Surgical conditions

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Duration

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Type of anesthesia: IV sedation + local anesthesia
Surgical incision: An aApproximately 5-mm incision at the inner and outer corners of the lower eyelid
Two incisions of approximately 5 mm at the waist (for the donor site of tendon)
Recovery: 7 days
Removal of stitches: 7–10 days

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General instructions

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No food and water on the day of surgery

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Apply cosmetic gel to the lower eyelid for 2 weeks postoperatively to stabilize the surgical results.
Avoid smoking, alcohol, or other irritating foods for 1 month postoperatively.
Avoid staying up late for 3 months postoperatively, and sustain eye warm compresses till the swelling completely subsides.

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Ideal candidates

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Patients with severe eyelid drooping or palpebral ectropion
Those who show insignificant results after lower eyelid suspension or lateral canthopexy
Those with chronic conjunctivitis due to long-term palpebral ectropion
Those with ocular socket indentation due to lower eyelid adhesion or ectropion
Those with traumatic eyelid ectropion

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Potential complications

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Scar hyperplasia
Eye shape change
Eye size shrinkage

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Surgical advantages

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A tendon sling provides robust support to the eyelids and lowers the incidence of recurrence.
The sSurgical scope and tissue damage are mild, which lowers the probability of postoperative scar adhesion.
The rResults are persistent and stable and are less likely to change.

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Surgical drawbacks

A small incision for the collection of the tendon would be left on the wrist (0.5 cm).
The eEye shape or size may change after the operation.
It may not be possible to completely correct the conditions of patients having eyelid defect or excess skin shortage.

Before & After

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Autologous Tendon Sling

Surgical conditions

Duration

General instructions

No food and water on the day of surgery

Ideal candidates

Potential complications

Surgical advantages

A tendon sling provides robust support to the eyelids and lowers the incidence of recurrence.

The sSurgical scope and tissue damage are mild, which lowers the probability of postoperative scar adhesion.

The rResults are persistent and stable and are less likely to change.

Surgical drawbacks

A small incision for the collection of the tendon would be left on the wrist (0.5 cm).

The eEye shape or size may change after the operation.

It may not be possible to completely correct the conditions of patients having eyelid defect or excess skin shortage.

Before & After