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Single-Suture Technique for Combined Upper Eyelid Blepharoplasty and Mueller’s Muscle-Conjunctiva Resection

Cho, Raymond M.D., F.A.C.S.

Ophthalmic Plastic and Reconstructive Surgery: July/August 2013 - Volume 29 - Issue 4 - p 316–317
doi: 10.1097/IOP.0b013e31829a7330
Surgical Technique
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Purpose: To describe a technique using a single suture to perform combined upper eyelid blepharoplasty and Mueller’s muscle-conjunctiva resection.

Methods: Retrospective surgical case series.

Results: The procedure was performed in 24 eyelids of 12 patients, with 3 cases including a 1-mm tarsectomy. Average improvement in margin-to-reflex distance 1 was 2.5 mm, and 22 of 24 cases (92%) achieved final margin-to-reflex distance 1 within 1 mm of the target predicted by phenylephrine testing. Surgical revision was required in 1 case of overcorrection and 1 case of recurrent ptosis.

Conclusions: Combined upper eyelid blepharoplasty and Mueller’s muscle-conjunctiva resection can be performed with a single suture while maintaining the surgical effectiveness of both the procedures.

The author describes a technique which uses a single suture to perform combined upper eyelid blepharoplasty and Mueller’s muscle-conjunctiva resection.

Ophthalmology Service, Walter Reed National Military Medical Center, Bethesda, Maryland, U.S.A.

Accepted for publication April 21, 2013.

The author has no financial or conflicts of interest to disclose. The views expressed in this article are those of the author and do not represent the official policies of the U.S. Army, the U.S. Navy, or the Department of Defense.

Address correspondence and reprint requests to Raymond Cho, m.d., f.a.c.s., Ophthalmology Service, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889. E-mail: raymond.cho@us.army.mil

© 2013 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.