title: Addition of dermis-fat graft to diminish cable visibility in frontalis suspension for patients with pre-existing deep superior sulci.
abstract: OBJECTIVE
  To propose and demonstrate a technique modification for frontalis suspension to simultaneously address ptosis and diminish abnormalities related to deep superior sulcus defect.
  
  
  METHODS
  Six patients underwent simultaneous frontalis suspension and placement of a superior sulcus dermis-fat graft.
  
  
  RESULTS
  Postoperative visibility of the cables, anticipated in patients with deep superior sulci, was prevented in these 6 patients.
  
  
  CONCLUSIONS
  Dermis-fat grafting may be added to improve cosmesis after frontalis suspension in patients at risk for postoperative cable visibility.
authors.affiliation: The Eye Center of Columbus/Grant Medical Center, Columbus, Ohio, USA.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Proffer
authors.forename: Craig N
authors.initials: CN
authors.lastname: Czyz
authors.forename: Kenneth V
authors.initials: KV
authors.lastname: Cahill
authors.forename: Marsha C
authors.initials: MC
authors.lastname: Kavanagh
authors.forename: Kelly R
authors.initials: KR
authors.lastname: Everman
authors.forename: John A
authors.initials: JA
authors.lastname: Burns
authors.forename: Jill A
authors.initials: JA
authors.lastname: Foster
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000601:surgery*; D003357:Cosmetic Techniques; D020405:Dermis / Q000637:transplantation*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D016037:Single-Blind Method; D053441:Suture Anchors / Q000009:adverse effects*; D016896:Treatment Outcome