Müller's Muscle Excision and Levator Recession in Retracted Upper Lid

This article is intended to provide the practitioner with the basics of upper lid blepharoplasty. We discuss the normal anatomy of the upper eyelid and its relationship to facial aesthetics. We also discuss the evaluation for upper eyelid surgery and surgical planning. We present the author’s preferred operative technique and talk about some variations in approach. We also discuss potential postoperative complications and patient outcomes. The illustrations and photographs are supplemented with video materials. This review contains 6 figures, 12 videos and 25 references Key Words: blepharochalasis, green forceps, lacrimal duct, lacrimal gland, levator palpebrae, levator aponeurosis, Müller’s muscle, orbital fat, orbicularis oculi, orbital septum, preseptal, postseptal, ROOF, tarsal fold, tarsal plate, skin-pinch technique

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Contemporary Upper Lid Blepharoplasty—Tissue Invagination

Clinics in Plastic Surgery ◽

10.1016/s0094-1298(20)31215-3 ◽

1993 ◽

Vol 20 (2) ◽

pp. 239-244 ◽

Cited By ~ 3

Author(s):

Richard J. Siegei

Keyword(s):

Upper Lid

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Hamiltonian Aspects of Three-Layer Stratified Fluids

Journal of Nonlinear Science ◽

10.1007/s00332-021-09726-0 ◽

2021 ◽

Vol 31 (4) ◽

Author(s):

R. Camassa ◽

G. Falqui ◽

G. Ortenzi ◽

M. Pedroni ◽

T. T. Vu Ho

Keyword(s):

Hamiltonian Structure ◽

Linear Equations ◽

Hamiltonian Formalism ◽

Reduction Process ◽

Ideal Fluids ◽

Upper Lid ◽

Stratification Structure ◽

Special Solutions ◽

Dispersionless Limit ◽

Unbounded Fluid

AbstractThe theory of three-layer density-stratified ideal fluids is examined with a view toward its generalization to the n-layer case. The focus is on structural properties, especially for the case of a rigid upper lid constraint. We show that the long-wave dispersionless limit is a system of quasi-linear equations that do not admit Riemann invariants. We equip the layer-averaged one-dimensional model with a natural Hamiltonian structure, obtained with a suitable reduction process from the continuous density stratification structure of the full two-dimensional equations proposed by Benjamin. For a laterally unbounded fluid between horizontal rigid boundaries, the paradox about the non-conservation of horizontal total momentum is revisited, and it is shown that the pressure imbalances causing it can be intensified by three-layer setups with respect to their two-layer counterparts. The generator of the x-translational symmetry in the n-layer setup is also identified by the appropriate Hamiltonian formalism. The Boussinesq limit and a family of special solutions recently introduced by de Melo Viríssimo and Milewski are also discussed.

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Improvements in Muller’s Muscle Resection Through the Use of Tenotomy Scissors and Dissolvable Suture

The American Journal of Cosmetic Surgery ◽

10.1177/0748806819885252 ◽

2019 ◽

Vol 37 (2) ◽

pp. 61-64

Author(s):

Michael K. Paap ◽

Rona Z. Silkiss

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Chart Review ◽

Adult Patients ◽

Patient Comfort ◽

Modified Technique ◽

Corneal Abrasion ◽

Müller’S Muscle

Muller’s muscle resection is a straightforward and effective surgical treatment for acquired blepharoptosis. The authors describe a novel modification of this procedure that reduces risk of corneal complications using dissolvable suture and tenotomy scissors in place of scalpel excision. In all, 122 consecutive adult patients with mild to moderate acquired eyelid ptosis treated with this modified technique were identified through chart review. In this cohort, all patients were satisfied with the result, none required reoperation, and none sustained postoperative complications. This technique modification maintains procedural efficacy and efficiency while improving patient comfort and decreasing the risk of inadvertently cutting a suture and inducing a corneal abrasion or incision dehiscence.

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