How is the muscle tightened/shortened during ptosis surgery? I'm trying to wrap my head around possible risks and long term side effects.
Answer: Ptosis muscle During ptosis surgery, two muscle can be surgically manipulated, the levator muscle or mullers muscle. The levator is typically accessed via the skin, and the mullers via the back surface of the eyelid (conjunctiva). Each ptosis case is different and each surgeon usually has a preference for the type of surgery they like to perform. Each of these are shortened during surgery, similar to cutting our a section of a curtain and attaching the two ends. Best Dr Z
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Answer: Ptosis muscle During ptosis surgery, two muscle can be surgically manipulated, the levator muscle or mullers muscle. The levator is typically accessed via the skin, and the mullers via the back surface of the eyelid (conjunctiva). Each ptosis case is different and each surgeon usually has a preference for the type of surgery they like to perform. Each of these are shortened during surgery, similar to cutting our a section of a curtain and attaching the two ends. Best Dr Z
Helpful 1 person found this helpful
November 23, 2017
Answer: How is the levator muscle tightened in ptosis surgery? There are 2 basic ways to tighten the levator muscle to correct eyelid ptosis, including 1) anterior or external approach using skin incision vs. 2) posterior or internal approach with hidden incision. See following link for more details. Either procedure can be done under local anesthesia.
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November 23, 2017
Answer: How is the levator muscle tightened in ptosis surgery? There are 2 basic ways to tighten the levator muscle to correct eyelid ptosis, including 1) anterior or external approach using skin incision vs. 2) posterior or internal approach with hidden incision. See following link for more details. Either procedure can be done under local anesthesia.
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October 31, 2017
Answer: Ptosis repair surgery There are 2 muscles which elevate the eyelid. The levator, which is closer to the skin, and Mueller's muscle which is on the inside. Through a skin incision the levator muscle can be located. A segment of the muscle is excised and the muscle is then sutured together. This basically shortens and tightens the muscle which will then be able to more effectively elevate the eyelid.
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October 31, 2017
Answer: Ptosis repair surgery There are 2 muscles which elevate the eyelid. The levator, which is closer to the skin, and Mueller's muscle which is on the inside. Through a skin incision the levator muscle can be located. A segment of the muscle is excised and the muscle is then sutured together. This basically shortens and tightens the muscle which will then be able to more effectively elevate the eyelid.
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October 31, 2017
Answer: Ptosis Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Ptosis usually happens when dehiscence of the levator muscle happens. Ptosis surgery can be performed by suturing the levator muscle. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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October 31, 2017
Answer: Ptosis Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Ptosis usually happens when dehiscence of the levator muscle happens. Ptosis surgery can be performed by suturing the levator muscle. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
Answer: How is the levator tightened I'm a big fan of placing a single permanent stitch to reattach the levator tendon. If your lid droop is caused by a slipped levator then I believe the best results can be obtained by reproducing the original anatomy. The goal is to achieve the right height and contour of the lid and this depends on the exact placement of the stitch to reconnect the levator. The key is to go to a surgeon who does a ton of these! Hope this helps and best of luck.
Helpful 1 person found this helpful
Answer: How is the levator tightened I'm a big fan of placing a single permanent stitch to reattach the levator tendon. If your lid droop is caused by a slipped levator then I believe the best results can be obtained by reproducing the original anatomy. The goal is to achieve the right height and contour of the lid and this depends on the exact placement of the stitch to reconnect the levator. The key is to go to a surgeon who does a ton of these! Hope this helps and best of luck.
Helpful 1 person found this helpful