23 The Fasanella–Servat Procedure
Book
Editors: Burnstine, Michael A.; Dresner, Steven C.; Samimi, David B.; Merritt, Helen A.
Title: Ophthalmic Plastic Surgery of the Upper Face
Subtitle: Eyelid Ptosis, Dematochalasis, and Eyebrow Ptosis
Print ISBN: 9781626239210; Online ISBN: 9781626239227; Book DOI: 10.1055/b-006-149698
2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart
Subjects: Plastic, Reconstructive and Cosmetic Surgery;Ophthalmology, Optometry
Thieme Clinical Collections (English Language)
Abstract
The Fasanella–Servat procedure was originally described by Fasanella and Servat to correct small to medium amounts of ptosis in patients with normal levator excursion. This procedure has fallen out of favor in recent years because of complications that include contour abnormalities, corneal abrasions, and the inability to grade the resections with an accurate nomogram. A modified Fasanella–Servat procedure has been described by Samimi et al, with the goal of minimizing contour abnormalities and corneal abrasions.