Transconjunctival Müller’s muscle Tucking Method for Non-incisional Correction of Mild Ptosis: The Effectiveness and Maintenance
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In patients with a mild degree ptosis who undergo non-incisional double-eyelid blepharoplasty, simultaneous correction of ptosis is needed to prevent loosening. The transconjunctival Müller’s muscle tucking (TMMT) method may be useful in these cases.
The authors performed this study to present the details of the current use of the TMMT method and to provide objective evidence for ptosis correction and its sustained effect.
A total of 322 eyelids in 161 patients who underwent mild ptosis correction with the TMMT method from July 2012 to December 2017 were retrospectively examined. The continuous suture method using a single stitch was used for double-fold formation, and the TMMT method was used for ptosis correction for the other incision. The margin to reflex distance (MRD) 1 was evaluated at pre-operation, immediate post-operation, and at 2, 6 months post-operation.
A total of 34 patients who had more than 6 months of follow-up were included. Right-side MRD1 values were 2.08 (± 0.19) mm before the surgery, 3.49 (± 0.16) mm immediately after the surgery, 3.33 (± 0.14) mm at postoperative 2 months, and 3.22 (± 0.17) mm at postoperative 6 months (p < 0.001). The difference of MRD1 between immediate post-operation and at 6 months was 0.25 mm without statistical significance (p > 0.05). Complications (fold loosening, asymmetry, and ptosis recurrence) occurred in three cases (8.8%), all of which were re-corrected by applying the TMMT method.
The TMMT method was useful for correction of mild ptosis, showed little recurrence, and prevented loss of fold by giving a vertical force to the double-fold.
Level of Evidence IV
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KeywordsMüller’s muscle Tucking Blepharoplasty Ptosis
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest to disclose and no financial support.
This study was conducted in accordance with the principles of the Declaration of Helsinki.
All patients provided written informed consent prior to enrollment.
Video showing non-incisional double-eyelid blepharoplasty (MP4 69965 kb)
Video showing TMMT method for ptosis correction (MP4 64318 kb)
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