CC BY-NC-ND 4.0 · Indian J Plast Surg 2011; 44(01): 147-149
DOI: 10.1055/s-0039-1699495
Case Report
Association of Plastic Surgeons of India

Ascher syndrome: Review of literature and case report

B. A. Ramesh
Department of Plastic Surgery, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur, Tamil Nadu, India
› Author Affiliations
Further Information

Publication History

Publication Date:
31 December 2019 (online)


A 13 year old girl presented with aesthetic deformity of upper lip since birth. She also presented with eyelid swelling on and off for 11 months. She was diagnosed to be a rare case of Ascher syndrome. Ascher syndrome commonly presents with double lip and blepharochalasis, sometimes associated with goitre. The deformity of her double upper lip was corrected by appropriate surgery. Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention. This article describes the management of the patient and brief overview of the syndrome. Ascher syndrome is often missed or misdiagnosed commonly.


  • 1 Mühlendyck H, Hundeiker M. Blepharoachalasis (Fuchs) and the Laffer-Ascher syndrome. Hautarzt 1978;29:474-7.
  • 2 Santos PP, Alves PM, Freitas VS, Souza LB. Double lip surgical correction in Ascher's syndrome: Diagnosis and treatment of a rare condition. Clinics (Sao Paulo) 2008;63:709-12.
  • 3 Reddy KA, Rao AK. Congenital double lip: A review of seven cases. Plast Reconstr Surg 1989;84:420-3.
  • 4 Suliman MT, Alhassan M. Double lip: Report of five cases and review of the literature. Aesthet Surg J 2007;27:289-91.
  • 5 Rintala AE. Congenital double lip and Ascher syndrome: II, Relationship to the lower lip sinus syndrome. Br J Plast Surg 1981;34:31-4.
  • 6 Kara IG, Kara CO. Ascher syndrome. Otolaryngol Head Neck Surg 2001;124:236-7.
  • 7 Brar BK, Puri N. Blepharochalasis: A rare entity. Dermatology Online Journal 2008;14:8.
  • 8 Bergin DJ, McCord CD, Berger T, Friedberg H, Waterhouse W. Blepharochalasis. Br J Ophthalmol 1988;72:863-7.