A new technique for levator lengthening to treat upper eyelid retraction: the orbital septal flap

Aesthetic Plast Surg. 2002 Jan-Feb;26(1):31-4. doi: 10.1007/s00266-001-0019-5.

Abstract

Correction of upper eyelid retraction can be achieved by numerous techniques. We have developed a new flap, the orbital septal flap, to interpose between the recessed levator complex and the tarsus to correct the retracted upper eyelid of a young girl. The orbital septum is a facial structure; it is readily available and easy to dissect. The flap acts like a vascularited spacer without the problem of resorption; normal anatomical continuity of the levator mechanism can be functionally restored. We believe the orbital septal flap is a promising technique for correcting upper eyelid retraction; however, more case studies are needed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Blepharoplasty / methods
  • Eyelid Diseases / surgery*
  • Eyelids / surgery*
  • Female
  • Humans
  • Oculomotor Muscles / surgery*
  • Surgical Flaps*