Further experience with the pinch technique for repair of eyelid deformities
M. Parkes and W. Fein
The pinch technique has been found to be useful in repairing cosmetic
eyelid deformities. However, the local anesthetic containing hyaluronidase
must be injected only in small amounts and only into the subcutaneous
space. Scar tissue and skin that is firmly adherent to underlying muscle do
not yield a satisfactory ridge, and therefore, the pinch technique should
not be used. Ectropion can be predicted by the observation of eversion of
the lid margin when even only minimal skin is pinched, and impending
ectropion can be discovered by our "lean forward and look up" maneuver. An
ectropion repair can then be combined with the blepharoplasty surgical
operation. The pinch technique has also been found useful when upper and
lower blepharoplasties are joined laterally to elevate the lateral canthus
and eliminate "crow's feet." One component of a repair of trichiasis also
involves the use of the pinch technique.
