Although the inferior oblique (IO) muscle is positioned considerably deep in the orbit, transconjunctival lower lid blepharoplasty may affect it and transient or permanent IO muscle palsy might result. Therefore diplopia should be explained before cosmetic blepharoplasty performed with transconjunctival approach.

Citations

Citations to this article as recorded by  

• Advances, Techniques, and Complications Associated with Adjacent Fat Transfer in Lower Blepharoplasty
  James J. Law, Aretha Zhu, Cat N. Burkat
  Advances in Cosmetic Surgery.2025; 8(1): 153.     CrossRef