Mumbai, India: Renowned plastic and cosmetic surgeon, Dr. Debraj Shome, has introduced a new surgery to deal with congenital Blepharoptosis combining levator muscle extirpation with tarso-frontalis silicone rod sling procedure.

Congenital Blepharoptosis is caused due to a developmental disorder that occurs in the levator muscle of the eyelashes. It results in an inability to move the eyelashes upwards, which in a normal person is a natural reflexive action. The situation can become tiresome and extremely discouraging for the patient as he or she is not able to see properly.

Dr. Debraj Shome has succeeded in accomplishing various complicated and yet highly successful surgeries to treat congenital Blepharoptosis. Though treatment for this problem has been evolving since the 1980s, the latest and highly effective treatment – the tarso-frontalis silicon rod sling procedure with levator muscle extirpation – eliminates the problem completely. It takes slightly more surgical time than other procedures, however gives far better cosmesis. It can be performed in both eyes to cure the ptosis and poor levator muscle function.

This technique of treating congenital Blepharoptosis used by Dr. Shome needs less number of sutures and provides better functionality. The steps include extirpation of the levator muscle by removing the preaponeurotic fat, using a thermal cautery to remove a part of the levator aponeuros is from insertion on the tarsus and transecting it to help negate its effect on the upper eyelid. The silicone rod is then inserted into the eyelid, via a forehead and eyelid pentagonal incision, and is passed retroseptally through median incisions to ensure it does its job as intended. Checking for proper contouring of the eyelid and sutures to form the lid crease help to complete the process.

Dr. Shome specifies the better cosmesis from this ptosis procedure as one of the key reasons for its effectiveness, in droopy eyelid surgery. In a randomized controlled trial, Dr. Debraj Shome and his group proved that the creation of the eyelid crease in this surgery, leads to far greater patient acceptability of the post-operative cosmesis. Moreover, under or over correction of the silicone rod can be easily adjusted. Silicone is an easily available material and provides a cheaper and safer option for the patient. Over the years, silicone has provided better cosmetic results with lesser chances of the ptosis reoccurring.

Dr. Shome has been pioneering such procedures in India for some time now. The esteemed doctor has expertise in a range of plastic surgery procedures such as rhinoplasty, oculoplasty, otoplasty, orbicular is oculi myectomy and reconstructive surgery for cancer, among others. He has won numerous accolades for his work including ‘Breakthrough Innovator in Facial Plastic Surgery’ in the annual 2015 Power Brand Awards and ‘Best Plastic Surgeon in India’ for 2015 in the Healthcare Excellence Summit & Awards. He has also published and presented papers at conferences and seminars all over the world.

About the Doctor:
The Esthetic Clinics was founded by Dr. Debraj Shome, a much-awarded facial plastic surgeon, and Dr.Rinky Kapoor, an internationally renowned dermatologist is also co-founder of this clinic. This clinic is one of the best centres in the world for cosmetic surgery and skin care. The clinic has treated patients from around the world for various skin conditions and surgeries.