Full-Thickness Eyelid Resection for Blepharoptosis Correction
Full-thickness eyelid resection offers predictable correction of blepharoptosis in scarred, multioperated eyelids. Two surgical techniques, the lamellar and en bloc techniques, are described in detail. Both techniques rely on removal of tarsus, and/or scar tissue replacing tarsus, in a millimeter-for-millimeter fashion to achieve the desired amount of correction. Results are highly predictable because the scarred, multioperated eyelid loses distensibility and fluidity between tissue planes such that the amount of tissue resection corresponds exactly to the amount of eyelid elevation. Ways to address asymmetric tarsal platform show and contour deformity are also presented.
KeywordsLevator Muscle Excess Skin Eyelid Margin Contour Deformity Orbicularis Muscle
- 1.Hervouet F, Tessier P. Technique chirurgicale du ptosis. Bull Mem Soc Fr Ophtalmol. 1956;239–42.Google Scholar
- 2.Beard C. Ptosis. St. Louis, MO: Mosby; 1969. p. 260.Google Scholar
- 7.Baylis HI, Axelrod RN, Rosen N. Full thickness eyelid resection for the treatment of undercorrected blepharoptosis and eyelid contour defects. Adv Ophthalmic Plast Reconstr Surg. 1982;1:205–12.Google Scholar