In some cases, the eyelid “turns in”. EYELID RECONSTRUCTION CODES Be aware that procedure codes 67961 (Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin) and 67966 The skin may be taken from an area near the injury to match the area where the graft will be placed. The lower eyelid defect is then sutured. These grafts may come from materials such as Enduragen, hard palate, and skin grafts. Mohs excision of right lower eyelid basal cell carcinoma left a full thickness lid defect. This procedure closes the eye for the 2 weeks until the release of the flap is performed. The Wall Center for Plastic Surgery 8600 Fern Avenue Shreveport, LA 71105 Phone: (318) 795-0801 Monday–Friday: 8 a.m.–5 p.m. When there is significant skin foreshortening, then one may need to augment the lower eyelid with a posterior spacer graft or augment the lower eyelid anterior lamella with a small skin graft … This can be accomplished by undermining, cantholysis, skin graft or a semicircular rotation flap to close the skin … In others it “turns… Read More » In this second blog, let’s describe two of those conditions, entropion and ectropion. A skin graft is healthy skin taken from an area of your body called the donor site. Replacing lost eyelid skin, and pulling up and anchoring delicate eyelid skin are difficult procedures. Once the upper eyelid tarsus pedicle is sewn to the remaining tarsus of the lower eyelid, the surgeon can carry out direct closure. The simplest way to correct this problem is to take a skin graft from behind the ear and use it to restare eyelid function and volume.Skin grafts are an excellent option to correct moderate to severe eyelid scarring with minimal risk of complications and little downtime. Skin grafting is surgery to cover and repair wounds with a skin graft. As the eye heals, the lower eyelid can be pulled off the lower … In this month’s first blog, we told you about our oculoplastic surgery expertise at Central Valley Eye Medical Group. Due to various causes, a person’s eyelid can turn the wrong way. Dr. Prasad often performs grafts to build support and extra skin for the lower eyelids. https://plasticsurgerykey.com/lower-eyelid-reconstruction-with-palatal-grafts-2 Solutions to Lower Eyelid Retraction and Ectropion. View Additional Case Studies. Grafts that are artificial or come from another person or animal may be used temporarily. The complexity of the lower eyelid injury is a big reason why simply putting a stitch in the lower eyelid corner to tighten the lower eyelid generally won’t fix botched lower eyelids and can easily make the problem worse. The reconstruction utilized superiorly based tarsoconjunctival transposition flap, local eyelid skin rotation flap, and right postauricular full-thickness skin graft. Lower eyelid surgery — known as lower lid blepharoplasty — is a procedure to improve the sagging, baggy, or wrinkles of the undereye area.