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

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Abstract

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.

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