Double eyelid operation in blepharoptosis patients.

Park, Dae Hwan; Lee, Jae Wook; Han, Dong Gil; Ahn, Ki Young

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(5):831-836.
Published online July 1, 1998.

Double eyelid operation in blepharoptosis patients.

Dae Hwan Park, Jae Wook Lee, Dong Gil Han, Ki Young Ahn

Abstract

In correction of ptosis, symmetry of lid contour, lash position and lid height must be matched. Most of blepharoptosis patients want to perform both the double eyelid operation and ptosis repair at the same time to achieve the best cosmetic and functional result. Using a surgical technique directed at the levator aponeurosis or the frontalis muscle with double eyelid operation, we corrected 13 cases of unilateral and 10 cases of bilateral congenital blepharoptosis. In unilateral ptosis with good or fair levator function, levator resection was performed and the position of the lid margin was adjusted at 1~2 mm below the superior limbus. The height of the lid crease of the ptotic eye is determined 1~3 mm lower than that of normal side. The position of the lid margin is adjusted at the level of the superior limbus and the height of the lid crease of the ptotic eye is determined 2~4 mm lower than that of nonptotic side. The advantages of this approach are normal anatomic planes of the eyelid are maintained, to obtain symmetry of both eyelids relatively easily, entropion may be prevented, and to achieve aesthetically pleasing results.