Double Eyelid Operation with Simultaneous Correction of Mild Blepharoptosis

Kim, Jae Won; Lee, Tae Hee; Lee, Sun Ku; Shin, Dong Hyeuk; Kim, Heon Joon; Choi, Jai Koo

Abstract

A double eyelid operation is the most prevalent form of aesthetic surgical procedure, and variable methods have been developed to suit each patients while indication of each surgery has been specialized with great details. Occasionally, we can find a blepharoptosis in the patients, who come for double eyelid operation. It is crucial to take note of this because even the smallest degree of blepharoptosis can lead to cosmetically very unsatisfactory result after double eyelid operation and so we think blepharoptosis must be corrected at the same time with double eyelid operation. There are several standardized method for blepharoptosis correction such as Fasanella-Servat, aponeurosis surgery, levator shortening(resection), frontalis suspension; the choice of most appropriate operation method depends on the function of a levator palpebrae superioris muscle and ptosis degree. Usually, in mild blepharoptosis patient with good levator function, Fasanella- Servat or aponeurosis surgery has been done. But in case, the patient want double eyelid operation at the same time, there exists great number of difficulties on operating both blepharoptosis correction and double eyelid operation simultaneously. Of course, in moderate or severe blepharoptosis patient, these two procedure must be performed seperately. But in mild blepharoptosis, with only single procedure for double eyelid operation we can correct ptosis simultaneously. Author's method is suturing dermal tissue of incisional lower flap to levator aponeurosis at 2- 3mm higher level than upper margin of tarsus. We report 3 years clinical observations of 56 patients undergoing this procedure with mild blepharoptosis, which provide a satisfactory results.