Blepharophimosis

Blepharophimosis syndrome (BPES) is a congenital condition characterized by a horizontally narrow eye opening, drooping upper eyelids, and epicanthal folds. Surgical correction widens the eye aperture, corrects ptosis, and restores both visual function and natural appearance.

blepharophimosis

Staged Surgical Planning

Treatment is carefully planned in stages to first correct the epicanthal folds and telecanthus, followed by ptosis repair, ensuring the best functional and cosmetic outcomes for each patient.

  • Epicanthoplasty: Releases epicanthal folds to widen the eye opening.
  • Ptosis Repair: Corrects drooping upper eyelids to improve vision.
  • Telecanthus Correction: Repositions the medial canthal tendons.
  • Frontalis Sling: Used when levator muscle function is severely reduced.

Benefits of Blepharophimosis Correction

Improves visual development, prevents amblyopia, and creates a more open, symmetrical eye appearance for improved quality of life.

  • Wider Eye Opening

    Enlarges the horizontal and vertical palpebral aperture.

  • Vision Protection

    Prevents lazy eye and promotes normal visual development.

  • Improved Appearance

    Creates natural-looking, symmetrical, and open eyes.

Children and adults with blepharophimosis syndrome presenting with narrow eye openings, drooping eyelids, or epicanthal folds that affect vision or facial aesthetics are ideal candidates.

Swelling and bruising are expected for 2-3 weeks following surgery. Antibiotic ointment and eye drops are prescribed, and follow-up appointments ensure proper healing and eyelid positioning.

Functional improvement is noticeable within a few weeks. Full aesthetic results with complete scar maturation and eyelid symmetry are seen at 6-12 months after surgery.