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KMID : 0602919950010020296
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Journal of the Korean Society of Aesthetic Plastic Surgery
1995 Volume.1 No. 2 p.296 ~ p.301
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Correction of Blepharoptosis with Double Eyelid Operation
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Abstract
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Blepharoptosis refers to drooping of the upper eyelid due to weakness of the levator musle or Mueller's muscle.
In correction of ptosis, symmetry oflid contour, lash position and lid height must be matched.
Most of unilateral congenital 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 surgicdal technique directed at levator aponeurosis (anterior levator approach) with double eyelid operation, we corrected 18 cases of unilateral congenital blepharoptosis. Avoidance of overcorrection in lid margin position and
symmetrization
between the upper lids are important.
In unilateral ptosis with good or fair levator function, levator aponeurosis resection was performed and the lid margin position was adjusted at1~2mm below superior limbus. Lid crease height of the ptotic eye is determined 2~3mm lower than that
of
normal side. Whitnall's sling with superior tarsectomy was performed in poor function ptosis case. Lid margin position is adjusted at the level of superior limbus and the lid crease height of the ptotic eye is determined 3~4mm lower than that of
nonptotic side.
The advantages of this approach are: normal anatomic planes of the eyelid are maintained; obtain symmetry of both eyelids relatively easily; entropion may be prevented; achieve aesthetically pleasing results.
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