eyebag surgery taiwan

The levator palpebrae superioris (the "levator muscle") is the muscle in the orbit that elevates the upper eyelid. Ptosis is often accompanied by sunken and asymmetrical eyes, which can be corrected by levator muscle repair or levator aponeurosis plication surgery.

During the levator aponeurosis plication surgery, the thin layer of levator muscle has to be first identified, then the plication of the levator aponeurosis is made by 4 times of the difference of vertical palpebral fissure between two eyes. For example, if the difference of vertical palpebral fissure between two eyes is 0.1 cm, the plication of the levator aponeurosis should be made by 0.4 cm. The left and right eyelids should reach symmetrical balance 1-2 months after surgery.

Ptosis is relatively common in the general population, which can be corrected surgically. People with ptosis may not be aware of it and just find themselves always look so tired.eyebag surgery taiwan Ptosis correction surgery helps not only to relieve the symptoms but also to restore the aesthetic appearance. It should be noted that ptosis correction surgery is a highly specialized and delicate procedure and should be performed by experienced cosmetic surgeons.

Using suture placement for ptosis repair is an option but not the ideal treatment because it cannot correct levator muscle weakness. The effective treatment for correcting ptosis is levator muscle surgery.

Among the patients with ptosis, one third are caused by traumatic injuries, such as car accident or double eyelid surgery damaging the levator muscle; two third are caused by disease or levator muscle dystrophy, such as congenital levator muscle dystrophy, acquired levator muscle weakness, leading to different vertical palpebral fissures in two eyes, namely asymmetrical eyes.

Acquired ptosis occurs more commonly in old ages, also called senile ptosis, which is caused by levator muscle weakness.

Congenital ptosis is present at birth, which is usually caused by poorly developed levator muscles, affecting one or both eyes.

Ptosis requires surgical correction. There are different surgical procedures for repairing ptosis. The surgeon should perform the most suitable one to achieve the optimal result based on the patient's eye condition.

1. "Brow suspension" is used to correct ptosis when the levator function is very poor. A string of material is burrowed under the skin to attach the upper eyelid to the frontals muscle, which helps to lift the upper eyelid. The material can be either fascia tissue taken from the patient's leg or a synthetic one.

2. "Levator resection" is used to correct ptosis when the levator function ismoderate.

3. "Fasanella-Servat procedure/Müllerectomy" is used to correct ptosis when the levator function remains normal.。

4. "Levator aponeurosis plication" is performed to correct senile ptosis by tightening the aponeurosis tendon and repositioning the drooping upper eyelid back to normal height.