• Congenital ptosis patients

• Acquired ptosis (neurogenic/myogenic/aponeurotic/mechanical/mixed)

• Poor LF (<6mm)

• Normal LF (>12mm)

• Good LF (10-12mm)

• Fair LF (6-9mm)

Kaohsiung Medical University Hospital Department of Plastic Surgery, led by Prof. Chun-Sheng Lai, developed the "Unveiling a New Vision for Ptosis—Innovative Frontalis Orbicularis Oculi Myocutaneous (FOOM) Flap Treatment." Ptosis is defined as the upper eyelid covering more than 1-2mm of the sclera. Etiology includes congenital and acquired (neurogenic/myogenic/aponeurotic/mechanical/mixed) types. Treatment depends on levator function and severity, with shortening (levator aponeurosis, levator muscle, Müller's muscle, tarsal plate) or sling (frontalis, FOOM flap) surgery. Traditional frontalis sling has disadvantages: recurrent ptosis, undercorrection, tent-shaped deformity, foreign body reaction, or resorption. Prof. Lai invented the FOOM Flap, officially named in 2004 and published internationally in Ophthalmologica and JPRAS in 2009-2010. Standardized preoperative evaluation (ptosis assessment forms I/II). Standardized surgical principles: normal LF (>12mm) use aponeurosis plication; good LF (10-12mm) use levator shortening; fair LF (6-9mm) use levator/Müller's shortening; poor LF (<6mm) use FOOM flap. Standardized postoperative evaluation by Souther & Vistnes 1979 method.

• Prof. Lai invented FOOM Flap (named 2004)

• Published intl 2009 & 2010

• Standardized pre-op evaluation forms I/II

• 4 procedures customized by levator function

• Replaces traditional frontalis sling shortcomings

• Souther & Vistnes 1979 standardized post-op evaluation

• Covers all age ranges (cases 7-71)

• Covers congenital & acquired ptosis

• 4 surgical options

• Aponeurosis plication/Levator shortening/Müller's shortening/FOOM

• No severity limit

• Individualized post-op evaluation

• High FOOM flap success

• Comprehensive evaluation forms

• Standardized evaluation

• Souther & Vistnes 1979 post-op evaluation

• Even severe (<6mm LF) can be corrected

• Multiple options for diverse conditions

• Replaces traditional sling shortcomings

• Standardized forms I/II reduce errors

• Autologous tissue avoids foreign body reaction

• 4 procedures reduce risk

• Strict pre-op evaluation

• Detailed post-op follow-up

• Significant ptosis correction

• Multi-age satisfaction (7-71)

• High satisfaction for individualized procedures

• Cross-team treatment integration

• Aesthetic results

• Patients regain new vision

• 2009 Ophthalmologica publication

• 2010 JPRAS publication

• Souther & Vistnes 1979 international standard cited

• FOOM Flap internationally named in 2004

• Invited intl plastic surgery talks

• Integrates aesthetic & functional surgery

• Sets new standard for ptosis treatment in Taiwan

• 4 procedures referenced by intl plastic surgeons

• Trains domestic plastic surgery subspecialists

• Widely-used pre/post-op evaluation forms

• Significant contribution to Asian ptosis treatment

• Cited in plastic surgery textbooks