Outpatient Periocular Reanimation

Periocular procedures are an important part of the management of both transient and chronic facial palsy. Many patients recover facial function over time, but even short periods of lagophthalmos carry an increased risk of exposure keratopathy and subsequent permanent visual disturbances. Multiple periocular procedures have been designed to improve eye closure, among them upper eyelid loading and lower eyelid tightening. Herein, the surgical steps of upper eyelid weight placement and lower tarsal strip canthoplasty are detailed.