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Re: Fascia Question

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On my oldest son the surgeon used his fascia, but on my youngest he used a gortex material. My oldest sons eyes look wonderful. If you didn't know he had a problem you never would think the problem he did have was BPES. My youngest sons doesn't look near as good as my oldests. The surgeon told us it was because he was a more severe case and the skin around his eyes was so tight that they could only go so far with it. He still has to have another surgery when he's older, so maybe they'll be able to open them further. From my experience it's harder for my youngest to use his brows to open. My oldest has no problems at all.

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Sharon A wrote:

> Hi ALL,

>

> I have a question that has been haunting me ....I asked our surgeon

> who I trust 100% , love , adroe etc. about Fascia.....She says that

> is the old fashion way of doing the surgery and it isnt used much any

> longer ....butthen I read most here have had it ? She " claims " the

> skin is very stiff doesnt look as natural and is much harder for them

> to use the brows to open. I am very happywith my kids progress but

> also wonder and I in theright direction or missing out on

> something....

One of the main changes in ptosis repair over the years centres around

the materials used to make the " sling " . Different surgeons have

different preferences, and the various materials have different

properties (stretchiness, stiffness, chance of rejection), etc). In my

day, there was only the choice of one's own natural fascia lata, or a

" donor " 's natural fascia lata. Today there are synthetics like silcone,

Gor-tex[tm], etc. I don't know whether the actual techniques have

changed as much as the materials, but I get the impression they haven't.

> Please i would love some opinion on people who have the fascia

> done...Although I assume most will say they are happy because, like I

> , we have nothing else to compare it too.

Yes, I'm quite happy with my fascia lata (donor's) sling done about 40

years ago. I can't imagine, as you rightly point out, that it could be

much better if different materials had been used, but perhaps so. A

thought: We don't know yet whether these newer materials will stand the

test of time, as natural fascia lata has done.

> Not like i have one kid

> with fascia and one without..meaning using two different

> procedures.....Just would like feedback,.

I'd think that as long as the sling is effective (the eyelid opens

enough to uncover the pupil) and comfortable (no rejection or

discomfort, exposure, etc), then all is well. Alternative materials

might well have been worse or the same, but whether they'd have been

better is somewhat moot if the natural fascia lata is working well

enough. Let not one's heart be troubled.

Rob W.

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