How do you do a frontalis sling?

The frontalis sling operation includes:

  1. Patient preparation.
  2. Decision regarding open or closed approach.
  3. Skin incision markings.
  4. Decision to suture the sling to tarsus or not.
  5. Passing the suture to the brow.
  6. Skin crease closure.
  7. Adjustment of height and contour.
  8. Closure of forehead incisions.

How long is ptosis surgery recovery?

Ptosis Surgery Recovery Timeline While every patient’s healing timeline will be unique, patients can expect it to take up to three months to fully recover after undergoing ptosis surgery.

Are you put to sleep for ptosis surgery?

Correction of upper eyelid ptosis is usually surgical and is typically performed in adults as an outpatient under local anesthesia. The patient or surgeon often elects to have an anesthesiologist present to administer intravenous sedation and provide monitored care.

What is the recovery like for ptosis surgery?

Recovery from surgery will involve swelling, bruising and mild discomfort. Some oozing or bleeding from the incision site is common and usually occurs intermittently during the first two days after surgery. If bleeding is persistent, very gentle pressure with guaze for a couple of minutes will usually stop this.

What is frontalis sling?

The frontalis sling procedure transfers the elevating function of the frontalis muscle to the ptotic eyelid. This can be done by creating a sling from the frontalis muscle to the eyelid, directly suspending the eyelid to the brow. Fascia lata, deep fascia of the thigh, can be used as the sling.

What is sling operation?

Sling procedures A sling is a piece of human or animal tissue or a synthetic tape that a surgeon places to support the bladder neck and urethra. Two sling techniques are shown — the retropubic and transobturator. Both are designed to reduce or eliminate stress incontinence in women.

How painful is ptosis surgery?

Most patients report the procedure is painless or only mildly uncomfortable. Post-surgical discomfort is usually manageable with an over the counter Tylenol. Recovery usually takes place in stages. During the first one to two weeks, it is normal to have some bruising and swelling.

What is frontalis muscle?

The frontalis muscle is responsible for elevating the eyebrows, while the corrugator supercilii, orbicularis oculi, and procerus play a role in its depression. The function of the forehead is often spared in middle cerebral artery strokes.

What is Frontalis sling?

What is Frontalis sling surgery for ptosis?

In this procedure, the connection between the eyelid margin and eyebrow is enhanced using a sling-type material as a suspender allowing the frontalis muscle to more effectively elevate the eyelid. Figure 1. 2-year-old male with severe ptosis before and after frontalis sling surgery.

What is frontalis implant surgery?

In this procedure, a surgeon attaches the upper eyelid to the frontalis muscle—the muscle just above the eyebrows—typically with the use of a small silicone rod that is passed through the eyelid, underneath the skin. Connecting the eyelid to the frontalis muscle with this rod allows the forehead muscles to elevate the eyelid.

What is the history of surgery for frontalis suspension?

Synthetic sutures were first used for frontalis suspension surgery in 1880. In 1909, Payr was the first to introduce the use of autogenous fascia lata (FL) in congenital ptosis repair. This technique was reintroduced by Wright in 1922.

What is frontalis suspension surgery for blepharoptosis?

Frontalis suspension surgery is indicated for blepharoptosis with levator muscle function of 2 mm or less and no more than 6 mm by various authors. Frontalis suspension is commonly used for severe congenital ptosis.