Nonsurgical treatment of cicatricial ectropion with hyaluronic acid filler.

Abstract:

BACKGROUND:Cicatricial lower eyelid ectropion is caused by a shortening of the anterior lamella, with resultant eversion of the eyelid away from the globe. Treatment is typically surgical; however, the author hypothesized that a nonsurgical injection of hyaluronic acid filler could stretch the tethered skin and act as a tissue expander to correct the lid. METHODS:Fifteen patients with lower eyelid cicatricial ectropion were injected with a hyaluronic acid filler below the surface of the affected eyelid skin. The patients were followed prospectively for over 1 year for outcomes and complications. RESULTS:All patients achieved immediate and dramatic correction of their ectropion with a single injection. Eleven patients (73 percent) had complete correction lasting more than 1 year and four had partial correction. No major complications were observed; however, temporary bruising and a Tyndall effect was evident in a majority of patients. CONCLUSIONS:Hyaluronic acid filler injections can successfully treat cicatricial ectropion by expanding the tethered anterior lamella of the skin. This provides an effective alternative to surgical correction of the lid. The treatment is quick, safe, and easy to learn.

journal_name

Plast Reconstr Surg

authors

Fezza JP

doi

10.1097/01.prs.0000299382.31856.d8

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

1009-1014

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-200803000-00038

journal_volume

121

pub_type

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