Complications of Blepharoplasty

Kazim, N.A.; Nesi, Frank A.; Nesi-Eloff, Francesca

doi:10.1007/978-1-4614-0971-7_34

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…5 Furthermore, if significant anterior lamellar shortening from excess removal of periocular skin occurs, full-thickness skin grafts can be used along with Frost sutures to ensure correction without further contraction of eyelid margin. 11 Byron Smith initially described an overlapping technique incorporating the skin graft into the suspension suture with an underlying compression bolster to correct cicatricial ectropion of the eyelids. 7,8 Specifically, double-armed silk sutures are anchored to the cheek or forehead skin to overlap the eyelids and assure a wide surface of the skin graft.…”

Section: Discussionmentioning

confidence: 99%

Double Frost Suture Technique for Simultaneous Skin Grafting of the Upper and Lower Eyelids

DeMaria

Tran

Tooley

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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The double Frost suture is a useful supplement to the reconstruction of ipsilateral upper and lower eyelid defects with full-thickness skin grafts. This technique involves silk traction sutures that overlap the upper and lower eyelids to place them on maximal stretch after placement of 2 full-thickness skin grafts. It has the added benefit of protecting the cornea and compressing both grafts under 1 bolster. The authors illustrate this technique in 2 pediatric cases—a congenital melanocytic kissing eyelid nevus and a periocular burn. Each case resulted in large upper and lower anterior lamellar defects, which were reconstructed with supraclavicular and retroauricular free skin grafts. The double Frost sutures counter vertical cicatricial forces during graft healing, obviating the need for staged procedures. Both described cases resulted in excellent graft survival with minimal contracture.

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Section: Discussionmentioning

confidence: 99%