Open-Sky (Anterior Approach) Müller’s Muscle Resection for the Correction of Blepharoptosis

  • Heather Baldwin


Aponeurotic blepharoptosis may be safely and effectively corrected by resection of Müller’s muscle. This surgery is thought to raise the upper lid by advancement of the levator muscle and aponeurosis. A particular feature of the technique is a consistently good postoperative eyelid contour, achieved through high placement of sutures on the tarsal plate. The open-sky technique offers advantages over other ptosis surgeries, including direct visualization of Müller’s muscle, opportunity for adjustment of lid height, the potential for preservation of conjunctival tissue, and efficacy in patients who do not demonstrate a positive phenylephrine test.


Silk Suture Levator Muscle Skin Crease Servat Procedure Tarsal Plate 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Princess Margaret HospitalWindsorUK

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