Clinical outcomes of reoperation for acquired upper lid ptosis

To assess outcomes of reoperation for the surgical correction of acquired upper lid ptosis, we evaluated the data and reasons of these operations in our hospital. We evaluated 76 patients, including 14 male and 62 female subjects, with a mean age of 70.4 years. Reoperation was performed once in 14.7 % of patients and twice in 4.4 % who underwent their first operation performed by the author. Reoperation was performed twice in 50 % cases and thrice in 25 % who underwent their first operation performed by another surgeon. The most common reoperation after the first operation was skin excision, followed by aponeurotic repair, upper lid crease creation, lateral canthoplasty, levator and Müller's muscle resection, and frontalis suspension. The mean reoperation time was 44 minutes. The elements of the reasons for the correction were classified as follows: 1. skin excess, 2. overcorrection: asymmetry or symmetry, and 3. under-correction: asymmetry or symmetry. Planning the operation by disintegrating the above-mentioned elements for complementary factors may be recommended. The possibility that operation for correction may be necessary should be explained to patients beforehand. Published reports on reoperation for the case of acquired upper lid ptosis are few because of the unfavorable results. Nevertheless, we report data of reoperations performed in our hospital to provide information on the real situation, which we believe is valuable.