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Pearls and Pitfalls in Cosmetic Oculoplastic Surgery pp 506–507Cite as

Müller’s Muscle-Conjunctival Resection Pearls: Phenylephrine and Resection Considerations

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Abstract

The goal of blepharoptosis repair is to elevate the eyelids to an acceptable level while maintaining proper contour, lid crease, and final symmetry of eyelid height to within 0.5 mm. Müller’s muscle-conjunctival resection (MMCR)1 predictably attains these goals because the correction is consistently titratable according to published2 or personal nomograms. MMCR is the preferred approach to raise an eyelid by 2.5 mm or less in patients with a positive phenylephrine test.

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References

  1. Putterman AM, Urist MJ. Muller muscle-conjunctiva resection. Technique for treatment of blepharoptosis. Arch Ophthalmol 1975;93(8):619–623.

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  2. Dresner SC. Further modifications of the Muller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthal Plast Reconstr Surg 1991;7(2):114–122.

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Authors and Affiliations

  1. Department of Ophthalmology, University of California at Irvine, Irvine, CA

    Melanie H. Erb MD (Assistant Clinical Professor)

  2. Department of Ophthalmology, University of Southern California, Los Angeles, CA

    Melanie H. Erb MD (Assistant Clinical Professor) & Steven C. Dresner MD (Associate Clinical Professor)

  3. Eyesthetica Inc., Santa Monica, CA, USA

    Melanie H. Erb MD (Assistant Clinical Professor) & Steven C. Dresner MD (Associate Clinical Professor)

Authors
  1. Melanie H. Erb MD
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  2. Steven C. Dresner MD
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Editor information

Editors and Affiliations

  1. Department of Ophthalmology and Division of Plastic and Reconstructive Surgery, Saint Louis University, St. Louis, MO, USA

    Morris E. Hartstein MD, FACS (Clinical Associate Professor) (Clinical Associate Professor)

  2. Departments of Ophthalmology and Otolaryngology-Head and Neck Surgery, Saint Louis University, St. Louis, MO, USA

    John B. Holds MD, FACS (Clinical Professor) (Clinical Professor)

  3. Ophthalmic Plastic and Reconstructive Surgery, American Eye Institute, Cedars Sinai Medical Center, Los Angeles, CA

    Guy G. Massry MD (Director) (Director)

  4. Spalding Dr. Cosmetic Surgery and Dermatology, Beverly Hills, CA

    Guy G. Massry MD (Director) (Director)

  5. Davidorf Eye Group, West Hills, CA, USA

    Guy G. Massry MD (Director) (Director)

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© 2008 Springer Science+Business Media, LLC

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Erb, M.H., Dresner, S.C. (2008). Müller’s Muscle-Conjunctival Resection Pearls: Phenylephrine and Resection Considerations. In: Hartstein, M.E., Holds, J.B., Massry, G.G. (eds) Pearls and Pitfalls in Cosmetic Oculoplastic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69007-0_161

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  • DOI: https://doi.org/10.1007/978-0-387-69007-0_161

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-25389-3

  • Online ISBN: 978-0-387-69007-0

  • eBook Packages: MedicineMedicine (R0)

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