PMC3340122_01
(A) Preoperative view of the patient with ptosis shows that she has a prominent wrinkle in her forehead and sticks out her chin when she tries to open her eyes. (B) Postoperative view shows that the eyelids are symmetrical and in the appropriate position 1 year after the operation.
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As she showed bilateral 3 mm levator function (Figure 1A) without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous fascia lata. One year after the operation, the upper eyelids showed symmetrically appropriate heights (Figure 1B).
(A) Marking of the incisions before the procedure. The skin incision was made 6 mm from the eyelids margin, and the central area of the upper brow margin was also incised. (B) A view of the skin incisions before closure. With autologous fascia lata, bilateral frontalis slings were performed.
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The skin incision was made 6 mm from the eyelid margin, and the central area of the upper brow margin was also incised (Figure 2A). The branched fascia lata was sutured with 6-0 nylon (Sigma, Tokyo, Japan) on the tarsal plate and then the upper eyelid curvature was confirmed by pulling the fascia through the suborbicularis tunnel (Figure 2B).