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Current surgical procedures used widely for the correction of severe blepharoptosis are levator resection, frontalis suspension, and frontalis muscle transfer. Yet satisfactory result have not been found. Frontalis muscle transfer, often implemented in severe cases of blepharoptosis, results in diverse complications such as damage to the supraorbital nerve, temporal branch of facial nerve, loss of forehead wrinkle, excessive bleeding or lagophthalmos. In this report, we are introducing a frontalis myofascial flap, using fascia elevated from the frontalis muscle intersects with the orbicularis oculi muscle. This procedure thus elongated length of flap, reducing tension after anchoring to the tarsal plate. This procedure was successful in 7 patients with severe blepharoptosis, and follow-up period was ranging from 4 months to 11 years. Satisfactory results have been achieved. Low recurrence rate and less complications were noted than standard frontalis muscle transfer.
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