Arch Plast Surg.  2014 Jan;41(1):71-76. 10.5999/aps.2014.41.1.71.

Mild Ptosis Correction with the Stitch Method During Incisional Double Fold Formation

Affiliations
  • 1Department of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.
  • 2Gyalumhan Plastic Surgery, Seoul, Korea. cmcanti@hanmail.net

Abstract

BACKGROUND
Numerous methods exist for simultaneous correction of mild blepharoptosis during double eyelid surgery. These methods are generally categorized into either incisional (open) or non-incisional (suture) methods. The incisional method is commonly used for the creation of the double eyelid crease in patients with excessive or thick skin. However, concurrent open ptosis correction is often marred by the lengthy period of intraoperative adjustment, causing more swelling, a longer recovery time, and an increased risk of postoperative complications.
METHODS
The authors have devised a new, minimally invasive technique to alleviate mild ptosis during incisional double eyelid surgery. The anterior lamella is approached through the incisional technique for the creation of a double eyelid while the posterior lamella, including Muller's and levator muscles, is approached with the suture method for Muller's plication and ptosis correction.
RESULTS
The procedure described was utilized in 28 patients from June 2012 to August 2012. Postoperative asymmetry was noted in one patient who had severe preoperative conjunctival scarring. Otherwise, ptosis was corrected as planned in the rest of the cases and all of the patients were satisfied with their postoperative appearance and experienced no complications.
CONCLUSIONS
Our hybrid technique combines the benefits of both the incisional and suture methods, allowing for a predictable and easily reproducible correction of blepharoptosis with an aesthetically pleasing double eyelid.

Keyword

Blepharoptosis; Muscles; Conjunctiva

MeSH Terms

Blepharoptosis
Cicatrix
Conjunctiva
Eyelids
Humans
Muscles
Postoperative Complications
Skin
Sutures
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