Surgical formation of upper lid fold.

Abstract

There are many occasions when an ophthalmic surgeon deems it surgically necessary to produce an upper lid fold for functionally reparative or basically cosmetic purposes. The spectrum of causative factors, necessitating subsequent surgical formation of the upper lid fold, may be divided into the following broad categories: ( a ) loss of upper lid fold following severe trauma as a result of an automobile accident, hand-to-hand fighting, etc.; ( b ) loss of upper lid fold (previously existent—a possible aftermath of ptosis surgery; ( c ) creation of upper lid fold (previously non-existent). Numerous upper lid fold surgical procedures are executed throughout the world and many have been assiduously described in medical journals. Some of these methods have required incisions through the skin resulting, sometimes, in cosmetically unattractive lid folds in patients with a tendency toward keloid formation. After having been stationed in military service in the Far East, I am of the firm opinion that