Aesthetic Plastic Surgery

, Volume 43, Issue 4, pp 956–963 | Cite as

Minimally Invasive Conjoint Fascial Sheath Suspension for Blepharoptosis Correction

  • Jing Zhou
  • Wenli Chen
  • Zuoliang Qi
  • Xiaolei JinEmail author
Original Article Oculoplastic



Blepharoptosis can not only affect facial appearance but physical and mental health as well. Traditional treatments require long recovery time and leave unpleasant scars. In this study, we explored a simple and effective way to correct mild, moderate blepharoptosis and analyzed the causes and precautions for postoperative complications.


From March 2014 to May 2017, patients presenting with mild or moderate bilateral or unilateral blepharoptosis underwent minimally invasive blepharoptosis correction using suspension of the conjoint fascial sheath of the levator and superior rectus. Mild blepharoptosis was corrected by 1 or 2 of loops suspension sutures, whereas moderate blepharoptosis was corrected by 3 or 5 loops. The postoperative evaluation, including the degree of correction or residual ptosis, asymmetry and presence of lagophthalmos, was performed after a minimum follow-up period of 9 months.


Forty patients (55 eyelids) were included. The mean followed up period was 13.40 ± 4.60 months. Good results were seen in 48 ptosis eyes (87.27%). Double eyelid crease was formed simultaneously without an obvious wound. Two mild ptosis eyelids received a fair result, and 4 moderate ptosis eyelids improved to “mild ptosis.” The mean marginal reflex distance 1 significantly increased postoperatively.


Long-term follow-up indicates that minimally invasive conjoint fascial sheath suspension works well for mild and moderate ptosis. With its short recovery time, simultaneous double eyelid crease formation and long-lasting effect, the surgery is worth popularizing.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Blepharoptosis Minimally invasive surgery Conjoint fascial sheath Correction Complication 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the clinical research committee of plastic surgery hospital (12100000400266049B) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all patients and can be seen by the editors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Plastic Surgery Hospital, Chinese Academy of Medical SciencesPeking Union Medical CollegeBeijingPeople’s Republic of China
  2. 2.Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Institute Clinical College of OphthalmologyTianjin Medical UniversityTianjinPeople’s Republic of China

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