Use of orbicularis oculi muscle flap for undercorrected blepharoptosis with previous frontalis suspension

The frontalis muscle and its fascia are connected with the orbicularis ocul i muscle at the level of the eyebrow. Therefore, the superiorly based orbic ularis oculi muscle flap, when advanced and attached to the tarsal plate, c an dynamically elevate the upper lid and correct blepharoptosis with previo us frontalis sling. Six patients with undercorrected blepharoptosis after f rontalis sling suspension were included in this study. The superiorly based orbicularis oculi muscle flap was advanced to the tarsal plate in these pa tients and the redundant portion of the distal flap was resected. Postopera tive results were satisfactory after 1-year follow-up. (C) 2000 The British Association of Plastic Surgeons.