Plastic Surgery, Beauty, Skin Care Message Boards & Blogs
Our message boards are for all of us who want to talk, listen, share, and support fellow women and men interested in discussing plastic surgery, beauty treatments, pregnancy, gynecological concerns, aging, and various health conditions. You can read messages without logging in. To post a message, please log in or register. It's free...and being a member gives you access to important information. By using the Message Boards, you agree to the Message Boards Policies.
Ask Dr. Yang any questions about facial plastic surgery, including facelifts, necklifts, eyelid surgery (blepharoplasty), browlifts, otoplasty, and non-surgical treatments such as Botox and injectable fillers.
i have a droopy left eye lid, and i went to consult a plastic surgerion ...as the difference between my left and right is 3mm... he suggested me to that i can go for Frontalis sling operation using silicone rod ... hope you understand what sort of problem i am having???
i just want to know how this operation works? wether i will be able to get the proper match between my eyes? wether i have to always keep my eyebrows in lifted position to get the height of lid? what are the disadvantage of this operation? i heard my eye will be half open always during sleep? please clarify!!!
i have a droopy left eye lid, and i went to consult a plastic surgerion ...as the difference between my left and right is 3mm... he suggested me to that i can go for Frontalis sling operation using silicone rod ... hope you understand what sort of problem i am having???
i just want to know how this operation works? wether i will be able to get the proper match between my eyes? wether i have to always keep my eyebrows in lifted position to get the height of lid? what are the disadvantage of this operation? i heard my eye will be half open always during sleep? please clarify!!!
Silicone frontalis slings for the correction of blepharoptosis: indications and efficacy.Carter SR, Meecham WJ, Seiff SR. Ophthalmology. 1996 Apr;103(4):623-30.
Department of Ophthalmology, University of California San Francisco, CA 94143-0730, USA.
Abstract: PURPOSE: To determine the efficacy of silicone rod frontalis sling ptosis repair in selected patients. METHODS: The authors retrospectively studied 35 consecutive patients who underwent silicone sling ptosis repairs in 6 lids at the University of California, San Francisco. RESULTS: Preoperative diagnoses included congenital ptosis causing developmental delay or possible amblyopia in children younger than 3 years of age, chronic progressive external ophthalmoplegia, third-nerve palsy, myasthenia gravis, and ocular restriction secondary to glaucoma filtering valves. With a mean follow-up of 22 months, good-to excellent final lid height was achieved in all 61 lids. Recurrence of the ptosis occurred in four lids (7%), requiring replacement of the silicone rod in two lids and revision of the original sling in two lids to reach the final lid height. Chronic exposure keratopathy without corneal infection occurred postoperatively in 9 (15%) of 61 eyes, all in patients with an inadequate or absent Bell phenomenon. Chronic corneal problems did not develop in any of the children. Extrusion of the sling with or without infection occurred in three foreheads (5%) in two patients younger than 15 years of age. CONCLUSION: Silicone rod is an effective material for use in frontalis suspension in treating severe ptosis with poor levator function. Children younger than 3 years of age with congenital ptosis and developmental delay or possible amblyopia can undergo silicone frontalis suspension to achieve good visual results. The elasticity and ease of adjustment of the silicone rod are ideal characteristics for a suspensory material used to correct severe ptosis associated with a minimal or absent Bell phenomenon, such as in chronic progressive external ophthalmoplegia, myasthenia gravis, or third-nerve palsy.
The more common methods for correcting a droopy eyelid (blepharoptosis) is by tightening or shortening the levator aponeurosis, which is the main upper eyelid opening muscle. This is performed using and upper eyelid incision approach or if the ptosis is mild, a special shortening can be performed from the inside of the eyelid using a Putterman clamp.
If the patient has good levator function, then a traditional approach is probably the first choice. However, maybe your physical exam indicates that you have poor levator function, which led your surgeon to recommend the Frontalis suspension. If you are unsure of the diagnosis and recommended treatment, you should seek a second and possibly a third opinion. The best surgeons for ptosis repair are occuloplastic surgeons like Dr. Edelstein in the photo example above. Other types of plastic surgeons or even facial plastic surgeons may not perform ptosis repairs often enough to call themselves experts at the procedure.
this operation seems to have a disadvantage that while sleeping my eyes will be slightlly open and it may result to some serious problem if not cared properlly!
Is there a reason why you can't have the direct repair of the levator muscle as shown in Dr. Edelstein's example? Maybe you should seek a second opinion. If the second and possibly third surgeon all feel you should get the frontalis sling with silicone rod, then at least you have a consensus. If the other two surgeon recommend a different procedure such as the the example, then you need to think more about your options.
i was recommended Silicone frontalis slings operation only because i have a severe ptosis... i have 3mm difference between two eyes
as told by the doctor after the surgery the eyes will remain open in night when i sleep... and i have to use some lubricants and ointments to adjust it!!! so i want to know wether this would be permanent or temporary ..... will my eyes be open during my sleep for lfelong or it will be just for 2 to 3 months!!
so i want to know wether this would be permanent or temporary ..... will my eyes be open during my sleep for lfelong or it will be just for 2 to 3 months!!
I don't have any experience with this procedure, so I can't answer your question. If your doctor already told your that your eyes will remain open at night when you sleep, your surgeon obviously has experience in this procedure as well as how patients heal and recover from the surgery.
Why not ask this surgeon if it will be permanent or for a few months? The surgeon is already being upfront about the early postoperative recovery, I think I would trust their counseling regarding the long term also.
Let us know what your surgeon says, and ask if a traditional levator repair will give you any improvement, without needing to have your eyelids stay open at night, or if it would not work at all.
i went and again consulted with my doctor then he suggested me to go for
lps recesion operation method to correct the ptosis problem....
so enquired abt it... but i missed to enquire some doubts .... and i couldnt get back to her... if u can help me out... then will be greatful..
as the skin will be cut and join... will that affect the blinking of my eye... like can i blink normally... as during sleep i have to use the lubricants... but when i am awake do i need to apply the lubricants? will my eye may get dry when i am awake?
i went and again consulted with my doctor then he suggested me to go for lps recesion operation method to correct the ptosis problem....
LPS resection and reinsertion. LPS stands for levator palpabrae superioris, which is the muscle responsible for opening the eyelid. I have plicated and "tightened" a lengthened LPS, but I have not cut and resected a portion of the LPS and reattached it. I have observed an occuloplastic surgeon perform this, but this is the type of case I would refer out.
I wonder why the doctor changed procedures on you, and suggested the LPS resection instead of the frontalis sling?
You need to ask these questions to the doctor. If you can't get enough time before surgery to have your questions answered, what will happen if you are having problems after surgery and need to reach the doctor?
Now that the procedure has changed, you need to go over the newly recommended procedure with as much detail as you asked for the Frontalis procedure.
My suggestions is to write down all of the questions as you think of them on a piece of paper before you go in for a follow-up consultation so all of your questions are answered point by point. If you have any uneasy feelings about the surgeon, then an additional second and third opinion with equivalently trained specialists should be considered.
cart
