Seminars in Plastic Surgery 2015; 29(03): 165-170
DOI: 10.1055/s-0035-1556850
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Subclinical Ptosis Correction: Incision, Partial Incision, and Nonincision: The Formation of the Double Fold

Yong Kyu Kim
1  Apgujeong YK Plastic Surgery Clinic, Seoul, Korea
,
Abdulla Fakhro
2  Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Anh H. Nguyen
2  Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
13 August 2015 (online)

Abstract

Surgery to create eyelid folds accounts for the highest percentage of surgeries in Asians and Koreans who receive the surgery on the upper eyelid 2 to 3 times during their lifetimes for functional or cosmetic reasons. Patients are generally satisfied with the results—the eyes becoming brighter and bigger via the improvement of pseudoptosis by fold creation. The recent trend is to seek the “perfect” eye: a vertically and horizontally big palpebral fissure with more than 90% cornea showing. Surgery of the levator aponeurosis–Müller muscle complex is required to expose the cornea, except in those patients who inherently have good levator-Müller function. However, many complications occur during surgeries of the levator aponeurosis–Müller muscle complex, which increase the reoperation rate. Here, the authors briefly summarize recent experiences correcting subclinical ptosis using the nonincision, incision, and partial incision methods.