2015
DOI: 10.1055/s-0035-1556850
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Subclinical Ptosis Correction: Incision, Partial Incision, and Nonincision: The Formation of the Double Fold

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 levato… Show more

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Cited by 7 publications
(9 citation statements)
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“…Plastic surgeons must master levator advancement and be comfortable incorporating it into the upper blepharoplasty procedure, because many patients who present for cosmetic upper blepharoplasty may need a levator advancement incorporated into the procedure to achieve the desired outcomes. 1 , 13 , 14 , 33 , 38 , 39 Patients may have mild blepharoptosis, 18 , 19 , 21 , 28 and appear not to need levator advancement because of apparent adequacy of their palpebral aperture. However, careful examination will often reveal the presence of a subtle but noticeable degree of frontalis straining that is compensating for minor degrees of levator insufficiency.…”
Section: Discussionmentioning
confidence: 99%
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“…Plastic surgeons must master levator advancement and be comfortable incorporating it into the upper blepharoplasty procedure, because many patients who present for cosmetic upper blepharoplasty may need a levator advancement incorporated into the procedure to achieve the desired outcomes. 1 , 13 , 14 , 33 , 38 , 39 Patients may have mild blepharoptosis, 18 , 19 , 21 , 28 and appear not to need levator advancement because of apparent adequacy of their palpebral aperture. However, careful examination will often reveal the presence of a subtle but noticeable degree of frontalis straining that is compensating for minor degrees of levator insufficiency.…”
Section: Discussionmentioning
confidence: 99%
“…Eye dominance, as determined by the Dolman method 31 ; innervation for eye opening is primarily from the dominant eye (Herring reflex of equal innervation); ptosis correction in the dominant eye would result in slight drop of the eyelid margin in the nondominant eye, 13 , 21 , 23 , 24 , 28 , 31 , 32 and to account for this, a value of +1 mm of tightening is empirically assigned to the nondominant eye.…”
Section: Preoperative Determination Of Fixation Locationsmentioning
confidence: 99%
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“…Subclinical ptosis is a compensated state of eyelid opening in which the upper eyelid is maintained at normal or near normal position by activation of the frontalis muscle [ 26 , 27 ]. In the literature, “subclinical” or “latent” blepharoptosis is not a clearly defined entity with varied descriptions [ 2 , 15 , 28 32 ]. Choi et al described subclinical ptosis as when the “upper lid level is more than 1 millimetre below the proper level of the cornea” as suggestive of its presence [ 29 ].…”
Section: Discussionmentioning
confidence: 99%