Moderate Innovation Frontalis Aponeurosis Flap Suspension in the Treatment of Moderate and Severe Blepharoptosis

Objective To find the method and effect of the precise design of frontalis aponeurosis flap to correct the moderate and severe blepharoptosis.Methods When we design the frontal flap,the medial apponeurosis were incised for 2 cm long upward in 60 °and lateral frontalis apponeurosis were incised for 1.0 cm long upward in 45°and lateral frontalis apponeurosis to avoid injure the nerve innervation and vessel apply of frontalis muscle. The upper eyelid was suspended on the frontalis apponeurosis flap.The Muller's muscle and fat pad behind the orbital septum were protected carefully in operation.Results 28 cases of moderate and severe blepharoptosis were treated since 2004,of which 25 cases were corrected satisfactorily,2 cases were corrected mostly and 1 case was failed with follow-up from 3 months to 1 year.There were no complications.Conclusion The innovation design technique above don't injure the nerves and vessels of frontalis muscle and it is an effective and dependable method to correct moderate and severe blepharoptosis.