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Surgical alterations of upper eyelids can have significant effect on the appearance of the individual. Blepharoplsty is a relatively simple method but it has the highest rate of complications. It includes supratarsal depression, excessively high and low crease, short or fading crease and asymmetric eyelids. Between March of 2003 and March of 2006, 50 cases of secondary correction of asymmetric eyelids were performed with various methods by authods. All patients had previously undergone primary upper eyelid surgery. The result were graded as excellent, good, fair, or poor, based on the correction of deformities, surgeon’s satisfaction, patient’s satisfaction. With an average follow up period of 8 months, 32(64%) patients were found to have excellent results, 15(30%) had good results, 3(6%) had fair results. Complications were 2 cases of hematoma, 2 cases of persistent swelling and 3 cases of remaining asymmetry. Secondary correction of eyelids require some considerations that extensive tissue scarring and adhesions, excessive fat removal, injury to the levator aponeurosis, and inaccurate placement of the anchoring sutures and so on. After careful preoperative evaluation and planning, using appropriate methods according to the etiologies of deformity, successful outcomes can be achieved.
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