Ptosis Correction Surgery Treatment Options Ptosis Correction Surgery Advantages and Disadvantages

The symptom of ptosis can be corrected through surgery. Ptosis correction surgery can effectively solve the problem of ptosis. Ptosis varies from person to person and can be divided into congenital or acquired.

Commonly used methods for treating ptosis include shortening of the levator palpebrae superioris muscle, suspension by downward displacement of the frontalis muscle flap, and suspension by the fascia lata band. Before surgery, the degree of ptosis and the strength of the frontalis muscle must be measured. For congenital ptosis, when the levator palpebrae superioris muscle still has a certain function, shortening of the levator palpebrae superioris muscle should be the first choice. This operation is to shorten the levator palpebrae superioris muscle to enhance its muscle strength and improve its ability to lift the eyelid. This operation meets normal anatomical requirements and has good results. If the function of the levator palpebrae superioris muscle no longer exists or is extremely poor, the method of suspension by downward displacement of the frontalis muscle flap or suspension by the fascia lata band is required. These two methods are to connect the upper eyelid tarsal plate directly or indirectly to the frontalis muscle, and use the frontalis muscle band to perform the function of the levator palpebrae superioris muscle. Ptosis surgery generally requires overcorrection, and the palpebral fissure cannot be completely closed after surgery. It should be properly protected to prevent damage to the cornea or complications such as exposure keratitis. Due to the different causes and specific conditions of ptosis, so far, there is no surgical method that is completely suitable for correcting all ptosis. It should be noted that although a surgical procedure is used that is appropriate for a certain situation, the postoperative results may vary due to individual differences in patients and different surgeons.

Technical principle: A skin fat flap with a size of 2.0cm×2.0cm and a fat thickness of 2.0cm×2.5cm is cut from the abdomen below the navel or the upper outer quadrant of the buttocks for later use.

Enucleation of eyeball and dermal fat flap transplantation

1. Remove the eyeball as usual.

2. Place a steel ball with a handle of appropriate size into the myoconus cavity to apply pressure to stop bleeding. The assistant clamps the edge of the conjunctival incision with tweezers and gently lifts it. The surgeon places the dermal fat flap into the myoconus cavity. During the implantation process, do not use tweezers to push the fat tissue into the orbit to avoid excessive damage to the fat tissue.

3. Pull up the pre-placed sutures of the four rectus muscles and suture them to the corresponding dermal flap edges at 3, 6, 9, and 12 o'clock. Make a needle mattress suture between the dermal flap edge and the bulbar conjunctiva in each of the four quadrants and tie it. Suture the bulbar conjunctiva continuously. Put a prosthesis in the conjunctival sac and compress it.

Transplantation of dermal fat flap for sunken eye socket after long-term enucleation

1. Open the eyelids with an eyelid opener. Make a horizontal incision of the bulbar conjunctiva and the eyeball fascia at the back of the conjunctival sac, and make a sneak separation toward the orbital rim.

2. Make an oblique incision between the rectus muscles from the nose to the temporal part and from the temporal part to the nose. Both tissue flaps contain a rectus muscle. Extend the incisions in each quadrant into the orbit and expand the myoconical cavity. Place a steel ball with a handle into the myoconical cavity to compress and stop bleeding.

3. Pre-stitch the four front edges of the dermal flap. The assistant clamps the edge of the conjunctival incision with forceps and gently lifts it. The surgeon implants the dermal fat flap into the myoconical cavity. The other steps are the same as above.

Before surgery, the degree of ptosis and frontalis muscle strength should be measured. For congenital ptosis, when the levator palpebrae superioris muscle still has a certain function, levator palpebrae superioris muscle shortening surgery should be the first choice. This surgery is to shorten the levator palpebrae superioris muscle to enhance muscle strength and improve its ability to lift the eyelid. This surgery meets normal anatomical requirements and has good results. If the function of the levator palpebrae superioris muscle no longer exists or is extremely poor, the frontalis muscle flap downward suspension or fascia lata band suspension method should be adopted. These two methods are to connect the upper eyelid tarsal plate directly or indirectly to the frontalis muscle, and use the frontalis muscle band to perform the function of the levator palpebrae superioris muscle. Ptosis surgery generally requires overcorrection, and the palpebral fissure cannot be completely closed after surgery. It should be properly protected to prevent damage to the cornea or complications such as exposure keratitis.

Since the causes and specific conditions of ptosis vary, there is no surgical method that is completely suitable for correcting all ptosis so far. It should be noted that although a surgical procedure suitable for a certain situation is used, the postoperative effect will also be different due to individual differences in patients and different surgeons. Before surgery, the degree of ptosis and the strength of the frontalis muscle must be measured. For congenital ptosis, when the levator palpebrae superioris still has a certain function, the levator palpebrae superioris muscle shortening surgery should be the first choice. This surgery is to shorten the levator palpebrae superioris muscle to enhance muscle strength and improve its eyelid lifting ability. This type of surgery meets normal anatomical requirements and has a good effect. If the function of the levator palpebrae superioris muscle no longer exists or is extremely poor, the frontalis muscle flap downward suspension or fascia lata band suspension method is required. These two methods are to connect the upper eyelid tarsus directly or indirectly to the frontalis muscle, and use the frontalis muscle band to perform the function of the levator palpebrae superioris muscle.

Ptosis surgery generally requires overcorrection. The palpebral fissure cannot be completely closed after surgery and should be properly protected to prevent damage to the cornea or complications such as exposure keratitis. Since the causes and specific conditions of ptosis vary, there is no one surgical method that is completely suitable for correcting all ptosis. It should be noted that although a surgical procedure suitable for a certain situation is used, the postoperative effect will vary due to individual differences in patients and different surgeons.

advantage

1. It meets physiological requirements. When lifting the upper eyelid, the upper tarsal plate can be lifted upward and backward along the direction of movement of the levator palpebrae superioris muscle.

2. Less bleeding during the operation.

shortcoming

1. Postoperative complications such as undercorrection, conjunctival prolapse of the fornix, eyelid angulation deformity, and poor curvature are likely to occur.

2. If the levator palpebrae superioris muscle is underdeveloped, the surgical effect may be poor or even fail.

Since the exact cause of ptosis and the specific anatomical conditions of each patient are different, there is currently no one surgical method that is suitable for all ptosis patients. It is also impossible to assert that a single surgical method is better for improving ptosis symptoms. We can only choose a suitable surgical method based on the specific situation of the patient and clinical experience.

For those who seek beauty, if this situation occurs, it is also a good way to correct it by cutting double eyelids. This method can help those who seek beauty to better solve the degree of upper eyelid sagging, and the effect of double eyelids is also more natural. For young girls, the recovery speed is also relatively fast. However, for older women, the recovery speed of double eyelids is still relatively slow after surgery, generally taking 3-6 months, of course, this varies from person to person. However, if those who seek beauty want to correct ptosis, they should still choose regular plastic surgery, so that they can help them achieve better results. Moreover, eye plastic surgery itself is a relatively delicate operation, not every plastic surgeon can do it well, and not every plastic surgeon can achieve the effect that satisfies the beauty seeker. For a surgical project like eye plastic surgery that is easy to learn but difficult to master, there are relatively high requirements for plastic surgeons. Both the plastic surgeon's skills and aesthetic strength should be improved at the same time, so that better results can be achieved. The eye plastic surgeons at Guangzhou Meilai all have more than ten years of industry and clinical experience. Only such experienced plastic surgeons can help you achieve better results and effectively avoid the occurrence of side effects.