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Updated: Apr 18, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Blepharoptosis correction with buried suture method.

Jang Woo Park1, Moon Seok Kang, Seung Min Nam

  • 1From the *BOM Aesthetic Surgery Clinic, Seoul; and †Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.

Annals of Plastic Surgery
|January 16, 2015
PubMed
Summary

This study shows that a buried suture technique effectively corrects mild to moderate blepharoptosis and creates a double eyelid fold simultaneously. This minimally invasive approach offers good cosmetic results with no complications in young patients.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • Existing blepharoptosis surgeries include anterior levator resection, tarsoaponeurectomy, and Fasanella-Servat Müllerectomy.
  • Minimally invasive techniques with reduced scarring and faster recovery are preferred by patients.
  • This study introduces a buried suture technique for simultaneous blepharoptosis correction and double eyelid fold creation.

Purpose of the Study:

  • To evaluate the efficacy of a buried suture technique for combined blepharoptosis correction and double eyelid fold creation.
  • To assess surgical outcomes and patient satisfaction with this combined procedure.

Main Methods:

  • A retrospective review of 121 patients who underwent the procedure between October 2010 and July 2011.
  • Patients had mild to moderate bilateral blepharoptosis with good levator function.

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  • Preoperative and postoperative marginal reflex distance (MRD1) and photographic assessments were used.

    • Main Results:

    • The average preoperative MRD1 was 1.174 mm, improving to 3.968 mm postoperatively (P<0.05).
    • No intraoperative complications were reported.
    • No symptomatic dry eye or exposure keratopathy occurred postoperatively.

    Conclusions:

    • The buried suture technique is effective for correcting mild to moderate blepharoptosis in young patients.
    • This technique successfully combines blepharoptosis correction with double eyelid fold creation.
    • The procedure demonstrates good safety and cosmetic outcomes.