“Cosmetic reconstruction,” a term coined by Dr. Clinton “Sonny” McCord, refers to the correction of problems caused by previous cosmetic surgeries. Most of these problems involve malposition of the lower lids after cosmetic blepharoplasty. I operated on three such patients today. Each patient has suffered through at least 4 surgeries. One patient was on her 10th. These are complicated problems to repair, which grow more difficult with each unsuccessful attempt at repair.
All of today’s cases required drill hole anchoring (to the bone of the rim of the eye socket) of the lower eyelids. One of them required a tissue patch for additional support. A gentleman required drill hole anchoring, fat grafting from the hip, and cartilage grafting from the ear to complete the reconstruction.
These surgeries require a special level of expertise in eyelid and eye socket anatomy and surgical techniques to correct previous complicated cosmetic surgery, and they make up a growing component of my practice.