title: Lacrimal gland prolapse: management during aesthetic blepharoplasty: review of the literature and case reports.
abstract: Prolapse of the lacrimal gland is an acquired clinical condition caused mainly by relaxation of the local suspending ligaments. Before an aesthetic blepharoplasty, there should be a preoperative clinical suspicion of lacrimal gland pathology for patients with bulging lateral thirds of the upper eyelids. It should be borne in mind that inadvertent removal of the lacrimal gland can lead to important alterations in ocular lubrication. This report describes two clinical cases of patients with lacrimal gland prolapse associated with dermatochalasis and their treatment.
authors.affiliation: Division of Plastic Surgery, Sao Paulo University Medical School, Sao Paulo, SP, Brazil. henrifri@uol.com.br
authors.forename: Henri
authors.initials: H
authors.lastname: Friedhofer
authors.forename: Maurício
authors.initials: M
authors.lastname: Orel
authors.forename: Fábio Lopes
authors.initials: FL
authors.lastname: Saito
authors.forename: Hélio Ricardo Nogueira
authors.initials: HR
authors.lastname: Alves
authors.forename: Marcus Castro
authors.initials: MC
authors.lastname: Ferreira
mesh_terms: D019882:Blepharoplasty; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000601:surgery*; D008297:Male; D011391:Prolapse; D055815:Young Adult