Novel Technique for Fixation of Fascial Grafts for Lower Eyelid Ptosis Using a Bi-Pedicled Periosteal Flap-Two Case Reports-

Abstract

A novel technique for fixation of fascia grafts for lower eyelid drooping is described. By use of a bi-pedicled periosteal flap created at the lateral canthus, easy adjustment of graft tension and easy and less traumatic fixation of the grafts with sutures was achieved in 2 patients without the need of an assistant surgeon. This technique can also be potentially useful in several plasties other than lower eyelid correction such as eyebrow lift by fascia suspension for facial nerve paralysis.