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Posterior Approach Ptosis Repair in the Aesthetic Patient With or Without Blepharoplasty

  • Kiran Sajja
  • Allen M. PuttermanEmail author
Chapter
  • 1.9k Downloads

Abstract

Posterior eyelid ptosis repair via the Müller’s muscle-conjunctival resection procedure is an effective, reliable, and simple technique for periorbital rejuvenation in the aesthetic patient. This procedure may be performed with other periorbital rejuvenation techniques without sacrificing results. Appropriate candidates are patients with maintained levator function whose ptotic upper eyelid elevates close to a normal eyelid level upon instillation of phenylephrine drops to the superior conjunctival fornix.

Keywords

Eyelid Margin Orbicularis Muscle Palpebral Conjunctiva Levator Function Eyelid Skin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Beard C. Müller’s superior tarsal muscle: anatomy, physiology and clinical significance. Ann Plast Surg. 1985;14:324–33.CrossRefGoogle Scholar
  2. 2.
    Müller H. Über glatte Muskeln an der Augenlidern des Menschen und der Säugetiere. Würzberg, Germany: Verhandl PMG; 1859; IX: 244. Cited by: Whitnall SE. The anatomy of the human orbit, 2nd ed. London: Oxford University Press; 1932. p. 145.Google Scholar
  3. 3.
    Dutton JJ. The eyelids and anterior orbit. In: Dutton JJ, editor. Atlas of clinical and surgical orbital anatomy. Philadelphia, PA: WB Saunders; 1994. p. 113–38.Google Scholar
  4. 4.
    Putterman AM, Urist MJ. Müller’s muscle-conjunctival resection. Arch Ophthalmol. 1975;93(8):619–23.CrossRefGoogle Scholar
  5. 5.
    Glatt HJ, Putterman AM, Fett DR. Comparison of 2.5% and 10% phenylephrine in the elevation of upper eyelids with ptosis. Ophthalmic Surg. 1990;21:114–22.Google Scholar
  6. 6.
    Ben Simon GJ, Lee S, Schwarcz RM, et al. External levator advancement vs. Müller’s muscle-conjunctival resection for correction of upper eyelid involutional ptosis. Am J Ophthalmol. 2005;140(3):426–32.CrossRefGoogle Scholar
  7. 7.
    Putterman AM, Fett DR. Müller’s muscle in the treatment of upper eyelid ptosis: a ten-year study. Ophthalmic Surg. 1986;17:354–60.PubMedGoogle Scholar
  8. 8.
    Mercandetti M, Putterman AM, Cohen ME, et al. Internal levator advancement by Müller’s muscle-conjunctival resection: technique and review. Arch Facial Plast Surg. 2001;3:104–10.CrossRefGoogle Scholar
  9. 9.
    Ben Simon GJ, Lee S, Schwarcz RM, et al. Müller’s muscle-­conjunctival resection for correction of upper eyelid ptosis: relationship between phenylephrine testing and the amount of tissue resected with final eyelid position. Arch Facial Plast Surg. 2007;9(6):413–7.CrossRefGoogle Scholar
  10. 10.
    Ayala E, Galvez C, Gonzalez-Candial M, et al. Predictability of conjunctival-Müllerectomy for blepharoptosis repair. Orbit. 2007;26:217–21.CrossRefGoogle Scholar
  11. 11.
    Dresner SC. Further modifications of the Müller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthal Plast Reconstr Surg. 1991;7:114–22.CrossRefGoogle Scholar
  12. 12.
    Perry JD, Kadakia A, Foster JA. A new algorithm for ptosis repair using conjunctival Müllerectomy with or without tarsectomy. Ophthal Plast Reconstr Surg. 2002;18(6):426–9.CrossRefGoogle Scholar
  13. 13.
    Putterman AM, Fagien S. Müller’s muscle-conjunctival resection ptosis procedure combined with upper blepharoplasty. In: Fagien S, editor. Putterman’s cosmetic oculoplastic surgery. 4th ed. Philadelphia, PA: Saunders Elsevier; 2008. p. 123–33.Google Scholar
  14. 14.
    Hildreth HR, Silver B. Sensory block of the upper eyelid. Arch Ophthalmol. 1976;77:202–31.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Ophthalmology and Visual Sciences, Havener Eye InstituteThe Ohio State UniversityColumbusUSA
  2. 2.Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear InfirmaryUniversity of Illinois at ChicagoChicagoUSA

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