Failed Mullerectomy. What revision technique shall be done, when and by who? (Photo)

Question

Doctors, I had 5 years ago a ptosis surgery anterior approach and repeated it 3 years ago ( same technique) last year I had mullerectomy technique as I still wasn't happy with the result. 1 month ago I re-did mullerectomy revision, and now the result is to cry. Its way worse then before and I think I'd need a 5th operation. What technique shall be used and will I be able to make it better?

Kenneth D. Steinsapir, MD · Answer

Stop using up the resources that are needed to definitively fix your upper eyelid. The Mueller's muscle conjunctival resection ptosis surgery is very popular with surgeons. The reason is that it is quick and anatomically simple. The reality is that it is so popular that in some fellowship training program, that is the only ptosis surgery that is taught to fellows. That is bad because this surgery is only effect when the levator aponeurosis is internally attached to the upper eyelid tarsus. There is a very common circumstance where the aponeurosis actually disinserts in the eyelid. This is called central levator disinsertion. You appear to have this. The Muellerectomy works by folding the aponeurosis, but when the tendon does not attach to the tarsus the surgery is largely ineffective. Repeating it does not change the anatomy. What you need is an anterior levator resection ptosis surgery. Your eyes can be your best feature.

Failed Mullerectomy. What revision technique shall be done, when and by who? (Photo)

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Failed Mullerectomy. What revision technique shall be done, when and by who? (Photo)

Answers (1)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.