Single-suture technique for combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection.

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.