Double-Flap Technique for Severe Congenital Ptosis Repair

Dr. Mostafa Mohammed Diab demonstrates the use of combined frontalis flap advancement and maximal levator resection for repair of severe congenital ptosis, with a focus on simple dissection of the frontalis flap under direct visualization. Concurrent levator muscle advancement helps to prevent eyelid malpositions associated with frontalis flap advancement, including eyelash inversion, entropion, and eyelid popping.

Acknowledgments: The author thanks Dr. Ahmed Ameen at Fayoum University who narrated the video. The author also thanks Professor Richard Allen at Baylor College of Medicine and Professor Antonio Augusto Cruz at Ribeirão-Preto Medical School for helping him refine this technique.

Financial Disclosures: Dr. Mostafa Mohammed Diab discloses no financial relationships.