Lower eyelid retraction after blepharoplasty.

We used a simple procedure to correct retraction of the lower eyelid after blepharoplasty. Through a lateral canthotomy skin incision, the retracting layer of tissue within the lower eyelid at the level of the orbital septum is lysed and the lower eyelid is elevated and fixed in the desired position by attaching a tongue of lateral canthal tendon and lateral tarsus to the lateral orbital rim under a posteriorly based periosteal flap.