In a stepped correction of blepharophimosis, what is the best age to start the reconstructive surgeries, if no amblyopia is present?
In this specific scenario I'd recommend starting surgical treatment with epicanthic folds at the age of 3 to 4 years performing a double Z or Y-V plasties and ptosis correction 9 to 12 months later with a brow suspension procedure.
The best age is once all facial bones have matured & the development of the face is complete. Usually attained by the age of 9 to 10 years.
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