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Mild ptosis correction with the stitch method during incisional double fold formation
Edward Ilho Lee1, Tae Joo Ahn2
1Department of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.
Archives of Plastic Surgery
|February 11, 2014
Summary
A new hybrid surgical technique effectively corrects mild blepharoptosis during double eyelid surgery. This combined incisional and suture method offers predictable results and high patient satisfaction with minimal complications.
Area of Science:
- Oculoplastic Surgery
- Cosmetic Surgery
Background:
- Simultaneous correction of mild blepharoptosis during double eyelid surgery presents challenges with existing incisional and non-incisional methods.
- Incisional ptosis correction often leads to prolonged swelling, extended recovery, and increased complication risks.
Purpose of the Study:
- To introduce a novel, minimally invasive hybrid technique for correcting mild blepharoptosis concurrent with incisional double eyelid surgery.
Main Methods:
- A hybrid approach was developed, utilizing an incisional technique for the anterior lamella (double eyelid creation) and a suture method for the posterior lamella (Muller's plication and ptosis correction).
Main Results:
- The technique was applied to 28 patients, successfully correcting ptosis in all cases except one with severe preoperative conjunctival scarring.
- All patients reported satisfaction with their aesthetic outcomes and experienced no postoperative complications.
Conclusions:
- The hybrid technique effectively combines the advantages of incisional and suture methods for blepharoptosis correction.
- This approach provides predictable, reproducible, and aesthetically pleasing results for double eyelid surgery patients requiring ptosis correction.

