Page 37 - Plasticos-Vol-3

V O L 3 2019 I S S U E

• For Medial Canthoplasty by Hornblas Upper eyelid Asian Blepharoplasty-
C-U Plasty - Amount of correction tarsal plate fixation with anterior skin
needed for each eye flap and middle 1/3rd fat pad removal.
Ptosis correction done by Tarso –frontalis
= ½ ( pre-operative ICD – ½ IPD) sling created with Prolene 2-0 (due
= ½ (45 – ½ * 70) mm to unavailability of Silicone thread) &
= 5 mm. immediately significant improvement
Desired correction : Tissue excision = 2:3 = of 1.5 mm elevation of upper eyelid.
5mm : 7.5 mm. Medial Canthoplasty done according
• Degree of Ptosis : Moderate – 3 mm. to pre-op markings and calculation.
• Levator Palpebrae Superioris Lateral Canthoplasty done by Von-
Function : Poor – 4 mm. ammon method – transverse skin incision
• Tarsal Height : 8.6 mm. of 6mm at lateral canthus; splitting
• Extra-ocular movements – normal. of conjunctiva; suturing with lateral
displacement of conjunctiva and skin .
For Telecanthus correction, trans-
Treatment [Fig. 3 & 4] nasal wiring from one side of corrected

medial canthus to opposite side
medial canthus done with Prolene 2-0.
post-operative

Fig. 3 ( Medial canthoplasty & transnasal wiring)

Fig. 5 (post-op 1 month)

Discussion

Though it’s a rare anomaly, a proper
planning is absolutely necessary.
• It could be done under General or
local anaesthesia.
• It could be single stage or mul
ti-staged operation.
• For ptosis correction, if – (a)Good levator
Fig. 4 ( lateral canthoplasty) function- Levetor Resection, (b) Poor leva
tor function – Tarso-frontalis sling is ad
vised usually.
• For Type 1 BPES - Endocrinology & Gyne
cology Consultation should be done [4].

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