Addition of dermis-fat graft to diminish cable visibility in frontalis suspension for patients with pre-existing deep superior sulci.

Purpose: To propose and demonstrate a technique modification for frontalis suspension to simultaneously address ptosis and diminish abnormalities related to deep superior sulcus defect.
Methods: Six patients underwent simultaneous frontalis suspension and placement of a superior sulcus dermis-fat graft.
Results: Postoperative visibility of the cables, anticipated in patients with deep superior sulci, was prevented in these 6 patients.
Conclusions: Dermis-fat grafting may be added to improve cosmesis after frontalis suspension in patients at risk for postoperative cable visibility.