Frontalis suspension technique with a temporal-fasciae-complex sheet for repairing blepharoptosis

Congenital blepharoptosis presents as a drooping upper eyelid with an unple asant appearance. Severe blepharoptosis usually has to be treated with vary ing modifications of frontalis suspension techniques. Each, however, has ce rtain drawbacks. In this paper, a refined frontalis suspension technique wi th temporal-fasciae-complex sheet is presented fur repairing severe blephar optosis. The technique suspends the eyelid from the frontalis muscle with a temporal-fasciae-complex sheet through the submuscular tunnel between the eyelid and the frontalis. Each of the 16 patients (22 eyelids) achieved goo d upper eyelid elevation and proper palpebral crease formation. We found th at the technique is simple, effective, and predictable with minimal risk of complications. It could he optimal for correcting severe blepharoptosis, e specially for Oriental patients who demand palpebral crease formation.