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Eyelid Ptosis Surgery Frontalis Sling Fixation

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.

Eyelid Ptosis Surgery Frontalis Sling Fixation

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The Skinny


Average Recovery

6 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$2000 - $5500

The Specifics


What is an eyelid ptosis frontalis sling fixation procedure?

Eyelid ptosis frontalis sling fixation is a permanent oculoplastic procedure to correct upper eyelid ptosis, especially congenital ptosis. A drooping upper eyelid is also known as eyelid ptosis or blepharoptosis. This occurs primarily in older adults, although certain conditions like Horner Syndrome, eye tumors/disease, myasthenia gravis, and/or nerve palsies may lead to the development of an upper eyelid ptosis.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

Ptosis of the upper eyelid occurs when the levator palpebrae superioris and frontalis muscles are stretched and/or weakened. In an eyelid ptosis frontalis sling fixation, incisions are made in the upper eyelid and the frontalis muscle is attached to the forehead muscles to allow the forehead to control the upper eyelid. Correction of eyelid ptosis rejuvenates and restores the appearance of the upper eyelid and facial aesthetic.

What cosmetic concerns does an eyelid ptosis frontalis sling fixation procedure treat?

  1. Sagging & Hooded Eyelids: Eyelid ptosis frontalis sling fixation utilizes a small silicone rod to attach the frontalis muscle to the forehead muscles to restore the upper eyelid function and appearance.

Who is the ideal candidate for an eyelid ptosis frontalis sling fixation procedure?

The ideal candidate for an eyelid ptosis frontalis sling fixation is an individual with upper eyelid ptosis and poor levator muscle function. It is especially useful in those with congenital ptosis. Eyelid ptosis frontalis sling fixation is not recommended for patients with severe upper eyelid ptosis, corneal sensitivity, severe dry eye, thyroid disease, Bell’s Palsy, or poor eye muscle function given the higher risk of lagophthalmos.

What is the average recovery associated with an eyelid ptosis frontalis sling fixation procedure?

The acute bruising, swelling, discoloration, and tenderness resulting from an eyelid ptosis frontalis sling fixation around the orbit and upper eyelids typically resolves within one to two weeks. Avoid rubbing or touching the eyes/eye area and using contact lenses for a week or two. Strenuous physical activity should be avoided for one to two weeks.

What are the potential side effects of an eyelid ptosis frontalis sling fixation procedure?

Potential side effects of an eyelid ptosis frontalis sling fixation include unusually excessive or prolonged bruising or swelling, abnormal/double vision, inadequate correction of ptosis, eyelid asymmetry/malpositioning, foreign body sensation, and severe dry eye.

What can someone expect from the results of an eyelid ptosis frontalis sling fixation procedure?

The results of an eyelid ptosis frontalis sling fixation are permanent and immediately visible corrections to the upper eyelid. Patients will see a toned, tightened, and rejuvenated upper eyelid with enhanced eyelid positioning, and possibly improved function and vision.

What is the average cost of an eyelid ptosis frontalis sling fixation procedure?

An eyelid ptosis frontalis sling fixation plastic surgery procedure can cost anywhere from $2,000 to $5,500. The actual cost of an eyelid ptosis frontalis sling fixation is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery.

Pros

Preferred method for patients congenital ptosis

Cons

Can cause asymmetry in unilateral ptosisBilateral procedures in unilateral ptosis risks unaffected lid to surgical risks

Invasiveness Score

mildmoderatesevere
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Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

The Takeaway


An eyelid ptosis frontalis sling fixation is a surgical ptosis repair producing permanent changes to the upper eyelid aesthetic and eyelid position. Most patients experience resolution of most side effects within two to three weeks, and are comfortable in public after two weeks.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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