I just gave a lecture on incisional ptosis correction in men who do not have a pre-existing eyelid crease.
Venue: Korean Association of Plastic Surgeons (KAPS) continuing education course.
October 6, 2019.
I first presented on ptosis correction for men without a crease back in 2017. At the time, the procedure was not widely known, and it seems the awareness has grown considerably since then.
This year's topic was introduced as follows.
In 2018, I published a paper on the technique in the American journal of plastic surgery, sharing the details so any plastic surgeon could replicate the work.
From time to time, patients come to me for consultation after running into complications from this same procedure performed elsewhere.
When the correction is done well, the result is excellent. The trouble starts when too much skin is excised at the outset, which can lead to serious complications.
I genuinely believe that following the technique laid out in my paper minimizes the risk of these problems.
The most serious pitfall is removing too much skin, which can prevent full eye closure or cause the lashes to roll inward.
The better approach is to create a small, internal-rolling crease so the lashes tuck in cleanly.
Excising skin aggressively rarely helps. It tends to leave the patient with lagophthalmos and a visible scar with very little to show for it.
