Unilateral Levator Resection for Jaw-Winking Ptosis

Abstract

While some surgeons have reported good experience with bilateral levator release and frontalis sling surgery for unilateral jaw-winking ptosis, I feel unilateral levator resection provides good results and that is all I have ever done on these patients. It turns out that most parents (or patients) are unwilling to sacrifice the normal muscle. I typically wait until the child is 3 or 4 years old, but if you can do the surgery sooner, I suspect the results might be even better. In my experience, the younger kids tend to try harder to elevate a ptotic lid.