关键词: 上睑下垂, 　上睑提肌腱膜, 　眶隔脂肪, 　重置, 　软-软连接, 　重睑

Abstract: Objective　 To introduce a surgical method that not only for desirable correction of congenitally mild to moderate blepharoptosis but also achieve good-looking palpebral creases with a minimal scar. Methods　 To dissect and resect the levator aponeurosis-Müller's muscle complex， reposition the septal fat， and sandwich the complex top and septal fat into orbicularis oculi muscles with soft-soft linkage to correct blepharoptosis and form palpebral creases. Outcomes were evaluated by position change in the upper eyelid margin and double eyelid appearances pre- and post- operation. The overall subjective aesthetics in the eyes were evaluated by eyes symmetry， double eyelid appearances and incisional scar. Results　 A total of 54 patients（ 72 ptotic eyelids） were included in this study. Distance between palpebral superior margin and superior cornea edge was improved in both mild and moderate ptotic eyelids when compared their pre- and post- surgeries （P<0.05）. 86.12% eyelids achieved good correction. Satisfying symmetries between two eyes in the same patient were observed in 90.74% patients. Aesthetic outcomes in 94.44% patients were subjectively graded as good or moderate. Conclusion　The method proposed in this paper is a desirable method for correction of the congenital mild to moderate blepharoptosis as well as formation of natural and beautiful double eyelids. 

Key words: Blepharoptosis, 　Levator aponeurosis, 　Septal fat, 　Reposition, 　Soft-soft linkage, 　Double eyelid