Patient's question:
I was born with bilateral ptosis (drooping upper eyelids), and the doctor said it's moderate. Also, my forehead wrinkles are very deep, and I can't look up because my eyes have to be lifted. Moreover, I have inturned eyelashes and epicanthal folds. What should I do? I want to have surgery, but I've heard from many people that it can't guarantee symmetrical eyes, and the eyelids may droop again after some time.Doctor's answer:
Anesthesia, which is also the first step in most surgical procedures, involves incising the skin and subcutaneous tissue along the preoperative design line, removing the preseptal orbicularis muscle, and retaining only the marginal orbicularis muscle. During the procedure, the upper eyelid is pulled downward, the upper lip of the incision is lifted upward, and continued dissection is performed in the retroorbital septal space. The eyelid protector is placed at the separated levator aponeurosis, lifting the upper eyelid. A specialized periosteal elevator is inserted into the subconjunctival tunnel, elevating the upper eyelid margin to the predetermined correction height while simultaneously pulling the levator muscle downward. The patient is instructed to look straight up to observe the height and curvature of the upper eyelid line.