ptosis and blepharophimosis Ptosis associated with Blepharophimosis

Ptosis is the drooping of the upper eyelid(s). Congenital eyelid problems may benefit from reconstructive surgery. Explore the eyelid for both reconstructive and cosmetic (blepharoplasty) surgery.

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Ptosis associated with Blepharophimosis

Blepharophimosis is name for a collection of birth deformities.

  • small eyelids that are short in vertical dimensions in some cases causing ectropion (lower eyelid too short to adequately cover the eye)
  • eyelids shorter from side to side
  • small opening for eyes to see through
  • eyes spread apart from each other (telecanthus) that can make the nose look like it is flattened
  • sagging of eyelids (ptosis)
  • arching of eyebrows
  • bones above eyes (supraorbital ridges) slightly flattened
  • epicanthal folds (a fold of extra tissue near the central corner of the eye opening)

Before surgery

blepharophimosis congenital eyelid ptosis

case from Dr. Y. Song
Ba Da Chu, China

The condition is usually inherited and the different elements show up to various degrees. Besides the unusual appearance, patients cannot easily see beyond their eyelids.


Before surgery

congenital eyelid ptosis or drooping from blepharophimosis
case from Dr. Y. Song
Ba Da Chu, China

This patient compensated for the upper eyelid ptosis by tilting her neck. The tilting let the eye see beyond the upper eyelid.


Before surgery

After surgery

canthoplasty for blepharophimosis eyelid ptosis

 cantoplasty for blepharophimosis congenital eyelid deformity
case from Dr. Y. Song Ba Da Chu, China

Surgical markings for a "jumping man flap" and levator (eyelid) muscle adjustment. Notice even with this early after surgery photograph that there is more room for the patient to see beyond her eyelids.

Surgery for blepharophimosis is frequently done in stages addressing the various problems. Timing is based on balancing the need for function and waiting until structures develop enough. This patient had her ptosis and the telecanthus / epicanthal folds addressed.

eyelid ptosis congenital blepharophimosis deformityeylid deformity cantoplasty for blepharophimosis

Other topics of interest:

Ptosis of the eyelid (dropping of the upper eyelid).
Upper eyelid ptosis and drooping eyelid.
Ptosis classification 
Muscle function and dysfunction in drooping eyelid problems.
Upper eyelid ptosis with frontalis muscle compensation.
Measuring eyelid function in eyelid ptosis.
Testing levator muscle for drooping eyelid
Congenital eyelid ptosis reconstructive surgery options. 
Recurrent congenital eyelid ptosis in a 26 year old black male.
Frontalis muscle compensation in drooping eyelid
Ptosis associated with paralyzed eyebrow muscle.
brow ptosis creating droopy eyelid
Ptosis associated with Blepharophimosis (congenital eyelid deformity).
eyelid ptosis
Blepharoplasty (Cosmetic surgery of the eyes)

Blepharophimosis on the web (see eyelid on the web)


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This page last updated on: April 21, 2012

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