A new technics in sutures for surgical ptosis correction
Objective: There are many ways to correct ptosis surgery. A new sutures technics for surgical ptosis correction with indication and contraindication was described as details.
Methods: A new sutures technics: modified Fascanella Servat.
+ The levator aponeurosis was bifolded (by doubling over) inversely by the first suture, followed by a second and third suture. (F.1)
+ The lid crease was recreated by three vertical sutures tied with round gauze (1.5 cm in diameter) at the superior eyebrow postoperatively. (F.2)
+ For the loosen lid crease by removing the gauze for over- correction, or
+ For the tighten lid crease by replacing the original gauze with a bigger gauze (eg >2cm) in the case of under-correction.
Discussion & Conclusions: This new less invasive procedure with adjustable sutures may be the easy choice for indicated ptosis correction on early age and older age with some advantages and disadvantages mentioned.