Editor,—Wheatcroft et al are to be congratulated on their excellent article concerning complications of fascia lata harvesting for ptosis surgery in 24 consecutive patients.1

I do have some concern about their statement that leg scarring was considered unsightly in 38% of their patients, but was considered “a minor problem in all cases”. Furthermore, they provided a graphic picture of a leg scar with a “poor cosmetic result”. I believe that the more litigious American patient might not find this a minor problem. Also, if a keloid were to form at the incision used by the authors superior to the knee joint in the …