Mersilene mesh as an alternative to autogenous fascia lata in brow suspension

Ophthalmic Plast Reconstr Surg. 2001 Nov;17(6):419-22. doi: 10.1097/00002341-200111000-00006.


Purpose: To evaluate the outcome and complications of brow suspension surgery for ptosis repair performed with Mersilene mesh as the suspensory material.

Methods: A retrospective review was undertaken of all patients undergoing Mersilene mesh brow suspension surgery during a 9-year period. All patients had undergone the same surgical procedure performed by the same surgeon. Preoperative and postoperative palpebral aperture heights were recorded, and the results were analyzed to provide a mean change in palpebral aperture height. The case records of patients with a poor response to surgery were examined carefully, and possible risk factors for a poor outcome were identified.

Results: The mean (95% confidence interval) increase in palpebral aperture height was 1.8 mm (1.2-2.4 mm). Factors associated with a poorer outcome were previous ptosis surgery and Marcus Gunn jaw-winking syndrome.

Conclusions: Mersilene mesh has advantages over other materials for use as a suspensory material in brow suspension surgery, and is associated with a good outcome and low complication rate.

MeSH terms

  • Adolescent
  • Adult
  • Blepharoptosis / surgery*
  • Child
  • Child, Preschool
  • Eyebrows / surgery*
  • Eyelids / surgery
  • Fascia Lata / transplantation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures
  • Polyethylene Terephthalates*
  • Retrospective Studies
  • Risk Factors
  • Surgical Mesh*
  • Treatment Outcome


  • Polyethylene Terephthalates
  • Lavsan