Evidence Basedcheckmark

Lower Eyelid Malposition - Massage and Steroid Injection

This procedure addresses concerns related to complications that arise due to over correction of the skin during a lower eyelid blepharoplasty. By using massage and steroid injection, this technique helps to correct ectropion, or an outward turning of the lower eyelid.

Lower Eyelid Malposition - Massage and Steroid Injection

Try on Lower Eyelid Malposition - Massage and Steroid Injection Solutions

Our 3D Aesthetic Simulator allows you to ‘try on’ cosmetic procedures and instantly visualize possible results from the palm of your hand — anytime, anywhere, for free.

appStore

The Skinny


Average Recovery

1 days

Permanence

Temporary

Application

Injected

Surgical

No

Cost

$25 - $300

The Specifics


What is a lower eyelid malposition - massage and steroid injection treatment?

A lower eyelid malposition - massage and steroid injection treatment is a temporary non-surgical intervention designed to correct malposition of the lower eyelid and refine the common complications of a lower eyelid blepharoplasty plastic surgery (usually due to excessive skin excision). Steroid injections into scar tissue on the lower eyelid can be used for ectropion repair and eyelid retraction repair.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

The lower eyelid malposition - massage and steroid injection treatment can also be used to help enhance the eyelid position between the upper eyelid and lower eyelid. The results are gradual and temporary. Most candidates will ultimately require an oculoplastic revision surgery, like lower blepharoplasty, to achieve the desired lower eyelid aesthetic and correct the ectropion to restore eyelid position. Lower Eyelid-Malposition-Massage and Steroid Injection does not address skin laxity by using scalpel incisions to remove excess fat or excess skin.

The lower eyelid is composed of three lamellae. The anterior lamella is made of the skin and orbicularis muscle, the middle lamella the tarsal strip and orbital septum, and the posterior lamella the conjunctiva and lower eyelid retractors. Excess skin or excess fat removal during a lower eyelid blepharoplasty can affect how the lamellar components interact causing eyelid malposition, ectropion, and lower eyelid retraction.

What cosmetic concerns does a lower eyelid malposition - massage and steroid injection procedure treat?

  1. Sagging & Hooded Eyelids: Lower eyelid malposition - massage and steroid injection can be used to help refine and enhance the results of a lower eyelid blepharoplasty by targeting the soft tissue for rejuvenation.
  2. Aging & Tired Eyes: Lower eyelid malposition - massage and steroid injection treatment can help to reduce scarred soft tissue and improve eyelid position to reduce scleral show (white of the eye), ptosis, ectropion, and dry eye due to exposed conjunctiva.

Who is the ideal candidate for a lower eyelid malposition - massage and steroid injection treatment?

The ideal candidate for a lower eyelid malposition - massage and steroid injection treatment is an individual experiencing complications due to excess skin or excess fat resection during a lower eyelid blepharoplasty. These patients may be experiencing eye ptosis, eyelid malposition, or lower eyelid ectropion. Lower eyelid malposition - massage and steroid injection treatment is not recommended for patients with severe ectropion and/or those who have previously undergone a massage and steroid injection.

What is the average recovery associated with a lower eyelid malposition - massage and steroid injection treatment?

Most patients experience no associated downtime after undergoing a lower eyelid malposition - massage and steroid injection treatment. Patients will only be expected to continue to massage the lower eyelid area and scarred soft tissue as instructed.

What are the potential side effects of a lower eyelid malposition - massage and steroid injection treatment?

Potential side effects from a lower eyelid malposition - massage and steroid injection treatment are typically minimal and may include unsatisfactory or varied results.

Unlike eyelid surgery oculoplastic procedures like lateral tarsal strip canthoplasty for lower eyelid malposition and lateral canthal suspension canthopexy for lower eyelid malposition, the massage and steroid treatment is non-invasive and does not carry a risk for the common complications of a lower eyelid blepharoplasty oculoplastic surgical intervention.

What can someone expect from the results of a lower eyelid malposition - massage and steroid injection treatment?

The results of a lower eyelid malposition - massage and steroid injection treatment are gradual and temporary improvements to the lower eyelid position and appearance. Scarred soft tissue can be lessened to help correct common complications of a lower eyelid blepharoplasty like ectropion, eyelid malposition causing abnormal eyelid margins, dry eye, ptosis, and lower eyelid retraction. Most patients will likely require revision surgery to completely correct the ectropion or lower eyelid retraction due to the need for surgical interventions on internal eye structures like the orbicularis muscle, orbital septum, conjunctiva and lower eyelid retractors.

What is the average cost of a lower eyelid malposition - massage and steroid injection treatment?

A lower eyelid malposition - massage and steroid injection plastic surgery procedure can cost anywhere from $25 to $300. The actual cost of a Lower Eyelid Malposition-Massage and Steroid Injection is dependent upon location, healthcare provider, and length and involvement of the steroid injection.

Pros

Correct complications from previous surgeryImprove ectropion

Cons

TemporaryVaried ResultsEventual need for revision surgery

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


This procedure addresses concerns related to complications that arise due to over correction of the skin during a lower eyelid blepharoplasty. Here is a quick guide for what to expect before, during, and after massage and steroid injection to correct lower eyelid malposition.

The Takeaway


A lower eyelid malposition - massage and steroid injection treatment is a non surgical-intervention used to correct common complications due to excessive soft tissue removal (like excess skin and excess fat) from the lower eyelid during a lower eyelid blepharoplasty procedure.

Steroid injections into scarred soft tissue can help to correct ectropion, eyelid malposition causing abnormal eyelid margins, dry eye, ptosis, and lower eyelid retraction. While not as consistent or effective as surgical techniques, this minimally invasive non surgical intervention with steroid injections can be helpful in many individuals, although most candidates ultimately require revision surgery due to the need for corrections to the lamellar areas, like the anterior lamella (eyelid skin and orbicularis muscle), middle lamella (tarsal strip and orbital septum) and posterior lamella (conjunctiva and lower eyelid retractors).

Is this article helpful?

To learn more about our content creation practices, visit our Editorial Process page.

Source List

+

AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Bhupendra C. Patel; Michael J. Lopez; Zachary P. Joos. Anatomy, Head and Neck, Eyelash PubMed.gov; 2020-07-27
  2. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
text-me-the-app

AEDITOR

‘Try on’ aesthetic procedures and instantly visualize possible results with The AEDITOR, our patented 3D aesthetic simulator.

appStore