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Facial Plast Surg 2023; 39(01): 053-056
DOI: 10.1055/a-1967-6050
Original Article

The Management of Chemosis after Blepharoplasty

Sorcha Ní Dhubhghaill 
1   Department of Ophthalmology, University Hospital Antwerp, Edegem, Belgium
2   Faculty of Health Sciences, The University of Antwerp, Antwerp, Belgium
,
Callum Faris
2   Faculty of Health Sciences, The University of Antwerp, Antwerp, Belgium
3   Department of Otolaryngology, University Hospital Antwerp, Edegem, Belgium
4   The Face Institute, Amsterdam, The Netherlands
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Abstract

Chemosis is a common, though typically temporary complication of both upper and lower blepharoplasty surgery, though it is much more common after the latter. It occurs due to extravasation of fluid into the subconjunctival space precipitated by desiccation, inflammation, and manipulation of the conjunctiva and associated lymphatic drainage. Intraoperatively, minimizing surgical exposure and manipulation as well as maintaining a moist ocular surface can reduce the risks. Postoperatively, we propose a stepwise approach, starting with lubricants and escalating to increasingly potent anti-inflammatories with compression bandaging and surgery reserved for persistent cases.

Keywords

chemosis - conjunctiva - blepharoplasty


Publikationsverlauf

Accepted Manuscript online:
25. Oktober 2022

Artikel online veröffentlicht:
15. Dezember 2022

© 2022. Thieme. All rights reserved.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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