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Updated: Jun 15, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

A new non-incisional correction method for blepharoptosis.

Yusuke Shimizu¹, Tomohisa Nagasao, Toru Asou

¹Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, and Keio University Hospital, Tokyo, Japan.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|February 26, 2010

Summary

This study presents a novel, scarless surgical technique for correcting blepharoptosis (droopy eyelid). The minimally invasive method effectively treats mild to moderate cases with high success rates and reduced recovery time.

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Area of Science:

Ophthalmology
Surgical Techniques
Plastic Surgery

Background:

Blepharoptosis, or droopy eyelid, can affect vision and aesthetics.
Existing surgical methods often involve significant incisions and tissue dissection.
There is a need for less invasive and more effective treatments for blepharoptosis.

Purpose of the Study:

To introduce a novel surgical correction method for blepharoptosis.
To present a technique that avoids major incisions on the eyelid skin or conjunctiva.
To evaluate the efficacy and complication rates of this new surgical approach.

Main Methods:

A minimally invasive technique involving thread placement through the conjunctiva to connect the levator muscle and tarsus.
The procedure requires no skin or conjunctival incisions and no eyelid tissue dissection.

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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Surgical correction was performed on 624 eyelids in 390 patients with mild or moderate blepharoptosis.

Main Results:

Complete ptosis correction was achieved in 97.5% of mild cases (406/416 eyelids).
Improvement was noted in 88.9% of moderate cases (185/208 eyelids), with 75% achieving complete correction (156/208 eyelids).
The method demonstrated high effectiveness for both mild and moderate blepharoptosis.

Conclusions:

The presented surgical method offers effective blepharoptosis correction.
This technique is simple, minimizes recovery time, and results in no scarring.
It represents a valuable surgical option for patients with mild to moderate blepharoptosis.