Addition of dermis-fat graft to diminish cable visibility in frontalis suspension for patients with pre-existing deep superior sulci.
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.
Proffer
Paul L
PL
The Eye Center of Columbus/Grant Medical Center, Columbus, Ohio, USA.
Czyz
Craig N
CN
Cahill
Kenneth V
KV
Kavanagh
Marsha C
MC
Everman
Kelly R
KR
Burns
John A
JA
Foster
Jill A
JA
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