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Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Blepharoptosis correction: repositioning the levator aponeurosis.

Il Jae Lee¹, Myong Chul Park, Hyoseob Lim

¹Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon, South Korea.

The Journal of Craniofacial Surgery

|November 15, 2011

Summary

A new surgical technique for blepharoptosis effectively corrects mild ptosis in Asian patients by repositioning the levator aponeurosis. This method offers a high success rate with minimal complications for improving eyelid appearance and function.

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Area of Science:

Ophthalmology
Plastic Surgery
Asian Aesthetic Surgery

Background:

Blepharoplasty is a common procedure in Asia, often addressing the desire for larger-appearing eyes.
Asian eyelids typically lack a supratarsal fold, have puffiness, and a narrow palpebral fissure, contributing to a tired appearance.
Mild to moderate blepharoptosis can cause functional and aesthetic issues, with existing correction methods posing challenges.

Purpose of the Study:

To assess the effectiveness of a novel levator aponeurosis medial repositioning technique for correcting mild to moderate blepharoptosis in Asian patients.
To investigate the potential of this technique as an alternative to levator resection or plication.
To evaluate the long-term follow-up results and complication rates of the described operative technique.

Main Methods:

The study assessed a levator aponeurosis medial repositioning technique in 87 patients with mild ptosis.
This technique involves anatomically repositioning a laterally deviated levator aponeurosis.
The procedure was evaluated for its effectiveness and complication profile in correcting blepharoptosis.

Main Results:

The levator aponeurosis medial repositioning technique demonstrated high effectiveness in correcting mild ptosis.
Eighty out of 87 patients achieved good results after the initial operation.
Undercorrection occurred in 6 patients, and one patient experienced a hematoma requiring correction; no other major complications were noted.

Conclusions:

Anatomic repositioning of a laterally deviated levator aponeurosis is a highly effective method for correcting mild ptosis in Asian patients.
This technique can be integrated into most surgical blepharoptosis procedures.
The medial repositioning technique offers a safe and successful approach for improving eyelid function and aesthetics in the Asian population.