36 Blepharoptosis Reoperation
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
Eyelid ptosis surgery may require reoperation to obtain an excellent symmetric result and a satisfied patient. The purpose of reoperation is to address an undercorrection or overcorrection of eyelid height and contour or to correct eyelid crease or fold asymmetries. In an eyelid that has had many surgeries or a large dissection in primary repair, scar formation and distorted anatomy may make reoperation difficult. Posterior or anterior revisions with tarsectomy can be performed to correct undercorrected margin reflex distances (MRD). In this chapter, I discuss segmental tarsectomy, first described by Henry Baylis, to address residual contour abnormalities and undercorrected eyelid ptosis. The tarsoconjunctival Müller’s muscle resection (Fasanella-Servat) is another useful procedure for ptosis reoperation and has been described in detail in Chapter 23.