Fasanella-Servat Procedure for Ptosis Correction

The Fasanella-Servat procedure is a useful technique for ptosis correction of 3 mm or less, with levator function greater than 10 mm. The procedure has been successfully used for congenital, neurogenic, myogenic, traumatic, and bilateral ptosis. It can also be useful for correction of eyelid contour abnormalities, such as from previous surgery or trauma, by skewing the clamp to one side. This procedure has the advantage of high reliability with appropriate preoperative criteria and is minimally invasive and quick to perform. It may be less likely to cause overcorrection or contour abnormalities than levator advancement surgery. The operation is very useful for small degrees of ptosis, and the likelihood of overcorrection is low. As with any surgery, proper patient selection is of paramount importance. In summary, this operation remains a highly useful technique for ptosis correction, even in modern oculoplastic surgery.