Congenital ptosis and the frontalis sling procedure

Hisham Seify, MD, PhD answers: Procedure to repair congenital eye ptosis for a child?

My 2 year old daughter has a severe congenital ptosis in her left eye. She was operated when she was two weeks old because the lid was completly closed. They did the resection of the levator muscle and opened the lid a bit. When she was one year old, she had a second resection of the levator muscle because it was very thin and the lid came over her pupil again, so they tightened it a bit more. Now her vision is okay and she is wearing an eye patch for 3 hours daily. Is there any cosmetic surgery that can make her eyes equal? Which procedure would you reccomend? At what age?


Hisham Seify, MD, PhD
2 months ago
By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

Procedures for congenital ptosis depends on the function of the levator muscle. Most congenital cases have severe muscle weakness(less than 3mm of function tested by moving the upper eye lid upwards).

In these cases, levator resection will not work well because the "motor" which is the levator muscle is not working properly.

The procedure in this case is a frontalis sling procedure. This procedure relies on the frontalis muscle to act as an upper lid elevator.

Hope that helps!

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