Invited commentary

Abstract

We congratulate Shimizu and colleagues for introducing this novel technique for the correction of blepharoptosis. 1 Shimizu Y. Nagasao T. Asou T. A new non-incisional correction method for blepharoptosis. J Plast Reconstr Aesthet Surg. 2010; 63: 2006-2014 Google Scholar The authors have hypothesised that the correction of mild to moderate blepharoptosis can be achieved with their minimally invasive technique. Principle behind this technique is almost similar to conjunctivomullerectomy where shortening of posterior lamella induces correction of mild to moderate blepharoptosis. 2 Ben Simon G.J. Lee S. Schwarcz R.M. et al. External levator advancement vs Muller’s muscle-conjunctival resection for correction of upper eyelid involutional ptosis. Am J Ophthalmol. 2005; 140: 426-432 Abstract Full Text Full Text PDF PubMed Scopus (107) Google Scholar , 3 Lake S. Mohammad-Ali F.H. Khooshabeh R. Open sky Müller’s muscle–conjunctiva resection for ptosis surgery. Eye. 2003; 17: 1008-1012 Crossref PubMed Scopus (49) Google Scholar Moreover, the deep nature of the suture is also likely to re-attach the dis-inserted edge of levator aponeurosis to the upper edge of the tarsus. Because there is no incision required, the author’s technique eliminates the disadvantages of eyelid crease incision (scar and interruption of nerve supply) as well as that of conjunctival excision (dry eye). A new non-incisional correction method for blepharoptosisJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 63Issue 12PreviewThe present report introduces our correction method for blepharoptosis, in which major incisions are made on neither the skin nor the conjunctiva of the upper eyelid, and no dissection of the eyelid tissues is required. Full-Text PDF