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Eyelid Reconstruction

Eyelid Reconstruction

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Fasanella-Servat procedure: posterior conjunctival<br />

approach (Combination of tarsal plate resection with<br />

mullerectomy & aponeurosectomy)<br />

A: Ptotic eyelid<br />

B: Eversion of the lid, clamping the<br />

combined edge of the upper tarsus,<br />

conjunctiva, and Muller’s muscle<br />

C: Running crossover<br />

pull-out suture<br />

above the clamped<br />

area<br />

D: Excision of tissue included in the clamped specimen<br />

E: Tissue is excised, and the lid is shortened by excision<br />

of the tarsus, conjunctiva, and Muller’s muscle, with<br />

tying of crossover stitches.<br />

F: Final position of eyelid<br />

58

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