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Section: Other Challenges

Ptosis in the Asian Upper Lids
Part 2

The normal tendon (technically, the levator aponeurosis) of the eyelid's opening muscle (the levator musle) can be seen as a glistening pink-white structure located high inside of the incision. Just below that tendon is an area of darker red color, and just below that is a tiny rim of additional pinkish-white tendon.

The darker red area represents a tear in the tendon and is the cause of the patient's drooping eyelid.


Defective levator aponeurosis



For comparison: Normal

Since the tendon transmits the pull of the opening muscle to the eyelid, the tear prevents the eyelid from opening to a normal height.

Surgical repair consisted of suturing the two intact portions of the healthy tendon back together again, thereby restoring the levator muscle complex to full strength.

In most patients, the tendon defect is much more subtle in appearance and consists of an ill-defined area of thinning rather than an easily-recognizable tear. In such cases, the tendon is reinforced by surgical tucking.


Next: Reverse Double Eyelid Surgery


More
from this section: Other Challenges >

Drooping Upper Eyelid
• Ptosis Correction - Basics
Ptosis Correction - Advanced
Reverse Double Eyelid Surgery

Lower Eyelid Fullness
Asian Lower Blepharoplasty

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Note: Information, observations, and opinions are offered for general reference only and should not be taken as medical advice or diagnosis.

Ptosis Repair Surgical Photos