Early postoperative adjustment of the Fasanella-Servat procedure: review of 102 consecutive cases.
OBJECTIVE
To describe and evaluate an office-based technique to adjust the Fasanella-Servat procedure in the first postoperative week.


METHODS
This retrospective case series reviewed all consecutive eyelids undergoing the Fasanella-Servat procedure between July 1, 2006, and July 1, 2007, by a single surgeon (R.D.L.). Charts were reviewed to determine the frequency, timing, safety, and efficacy of postoperative adjustment. Postadjustment photographs were reviewed by a blinded ophthalmic plastic surgeon for eyelid contour, height, symmetry, overall cosmesis, and picture quality as excellent, satisfactory, or poor.


RESULTS
The Fasanella-Servat procedure was performed on a total of 102 eyelids in 54 patients over the 12-month interval. Postoperative adjustments at the time of suture removal were performed to improve mild eyelid asymmetries for 22 eyelids (22%) in 19 patients. Postadjustment photographs, available for 17 patients, showed excellent eyelid contour (53%), height (88%), symmetry (82%), and cosmesis (65%). Satisfactory results were obtained in all remaining photographed eyelids.


CONCLUSIONS
The Fasanella-Servat procedure should be viewed as an adjustable ptosis correction with the adjustment as a standard component of postoperative suture removal. This manipulation takes only a few moments with minimal to no patient discomfort. It allows for improvements in eyelid height and contour. This series demonstrates a procedure that is simple, highly successful, and safe.
Rosenberg
Caroline
C
Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, New York University Medical Center and Manhattan Eye, Ear, and Throat Hospital, New York, New York, USA.
Lelli
Gary J
GJ
Lisman
Richard D
RD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D011182:Postoperative Care; D012189:Retrospective Studies; D013536:Suture Techniques