2011
DOI: 10.1016/j.sjopt.2010.10.011
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Müller’s Muscle Conjunctival Resection Ptosis Repair in the Aesthetic Patient

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.

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Cited by 14 publications
(6 citation statements)
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“…With moderate blepharoptosis, levator aponeurosis surgery is usually applied. Levator function and surgeon's preference assign the surgical option with severe blepharoptosis: Whitnall's sling (attachment of Whitnall's ligament to tarsus), supramaximal levator resection with or without tarsectomy, and frontalis suspension surgery are the most recommended techniques [1][2][3][4][5]8,9,[13][14][15][16][17][18].…”
Section: Discussionmentioning
confidence: 99%
“…With moderate blepharoptosis, levator aponeurosis surgery is usually applied. Levator function and surgeon's preference assign the surgical option with severe blepharoptosis: Whitnall's sling (attachment of Whitnall's ligament to tarsus), supramaximal levator resection with or without tarsectomy, and frontalis suspension surgery are the most recommended techniques [1][2][3][4][5]8,9,[13][14][15][16][17][18].…”
Section: Discussionmentioning
confidence: 99%
“…38 The STM assists in elevating the upper eyelid up to an additional 2.5 mm after the LPS‐initiated elevation due to sympathetic nervous system response. 39 , 40 This adrenergic innervation is responsive to apraclonidine ophthalmic drop stimulation. Anticholinesterase or alpha‐adrenergic eye drops improve cholinergic transmission indirectly by inhibiting the destruction of acetylcholine, a fundamental chemical mediator in the transmission of nerve impulses, increasing or prolonging their effects.…”
Section: Anatomic Study Of the Upper Eyelid And Surrounding Structuresmentioning
confidence: 99%
“…This demonstrates significant differences in intraorbital spread of toxin depending on anatomic variation sympathetic nervous system response. 39,40 This adrenergic innervation is responsive to apraclonidine ophthalmic drop stimulation.…”
Section: Anatomi C S Tudy Of the Upper E Yelid And Surrounding S Truc Ture Smentioning
confidence: 99%
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“…33 MMCR is indicated in mild ptosis, and involves removal of conjunctiva-Mullers muscle above the tarsus, to achieve predictable improvement in lid height. 34…”
Section: Blepharoptosis In Tedmentioning
confidence: 99%