Procedure: Frontalis suspension

Notes:Three months after surgery.

This middle-aged man has a progressive muscular dystrophy, causing his lids to droop to the point that he can no longer see to read or drive. His neck hurts from tilting his head backwards to see.

Raising the lids in these patients is very complicated. We know the muscular dystrophy will progress, and therefore the lids will need to be raised more in the future. These patients also have trouble closing their eyelids because that muscle is weak, too. Therefore, the goal is to raise the lids to just above the pupil. The adjustable frontalis suspension surgery is the ideal solution, and this gentleman was very pleased with his improvement in peripheral vision as well as the ability to keep his eyes open. His eyelids have excellent contour and symmetry, and close completely.