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The levator aponeurosis in blepharoplasty

R M Dryden, J Leibsohn

    Ophthalmology
    |July 1, 1978
    PubMed
    Summary

    Blepharoplasty that involves the levator aponeurosis creates a stable eyelid crease and allows for repair of levator defects. This technique can prevent or correct acquired ptosis, improving aesthetic and functional outcomes.

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    Area of Science:

    • Oculoplastic Surgery
    • Ophthalmology
    • Plastic Surgery

    Background:

    • Conventional blepharoplasty may result in scar separation from the eyelid crease and early skin redundancy.
    • Elderly patients often present with levator aponeurosis defects during blepharoplasty.
    • Undetected levator aponeurosis issues can lead to or worsen acquired ptosis.

    Purpose of the Study:

    • To evaluate the benefits of exposing the levator aponeurosis during blepharoplasty.
    • To assess the potential for creating a fixed eyelid crease and repairing aponeurotic defects.
    • To determine if this approach can prevent or treat acquired ptosis.

    Main Methods:

    • Blepharoplasty procedure involving direct exposure and manipulation of the levator aponeurosis.
    • Surgical repair of identified levator aponeurosis defects.
    • Assessment of eyelid crease formation and ptosis development post-surgery.

    Main Results:

    • Exposure of the levator aponeurosis facilitates the creation of a distinct and stable eyelid crease.
    • Opportunities for direct repair of levator aponeurosis defects are provided.
    • This technique may prevent or reverse acquired ptosis, addressing early separations.

    Conclusions:

    • Levator aponeurosis exposure during blepharoplasty offers superior aesthetic results by creating a defined crease.
    • Repairing levator aponeurosis defects addresses underlying issues contributing to ptosis.
    • This surgical approach enhances functional outcomes by managing or preventing acquired ptosis.

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