Eye For God
Bert Bowden, MD
Cosmetic and Reconstructive Eye Surgery

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Before and After Gallery
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Tarsal Strips

Occasionally, the eyelid develops a tendency to turn out or possibly turn in. This is almost always accompanied by looseness of the eyelid. It must be remembered that the lower lid is like a hammock. If both ends of the hammock are tightened, you will get good lifting of the hammock above the ground. However, if the hammock is only lifted on one end, it may not provide adequate lifting so that one does not drag on the ground. For this reason, the lower eyelid must be tightened like a hammock depending on the end that is loose.

In many cases, it is necessary to raise the eyelid on both the nose side as well as on the outside. The outside lift is performed by creating what is called a tarsal strip. A small portion of the tarsus (the supporting structure of the eyelid) is exposed and reattached and tightened to the bone on the outside portion of the orbit. This is one of the most common procedures Dr. Bowden does to restore the tone and function of the eyelid.

Below are some pictures of an eyelid with very severe laxity. It would be corrected by a tarsal strip to tighten the outside corner.

 

Pre-Operation

 

 

Post-Operation



Pre-Operation

Image 1    Image 2    Image 3

Post-Operation



To learn more about these procedures click here