Levator Ptosis Repair in the Aesthetic Patient With and Without Blepharoplasty

  • Morris E. HartsteinEmail author
  • Morris E. Hartstein


True eyelid ptosis can be present in the patient seeking aesthetic blepharoplasty. It is important to identify, evaluate, and discuss this eyelid malposition with the patient preoperatively. When ptosis is present, the surgeon must be prepared to address it, if desired by the patient, to prevent postoperative dissatisfaction. The levator aponeurotic approach to ptosis repair is a powerful technique which may be the only option of ptosis repair in selected patients. Successful surgery requires a detailed knowledge of eyelid anatomy, significant experience with the procedure, and a comfort level with surgery on the awake patient and intraoperative surgical adjustments. As compared to standard blepharoplasty, ptosis repair is more complex and time consuming, and can more commonly affect lid dynamics and result in postoperative complications. The best outcomes occur when the procedure is performed by surgeons who undertake it routinely.


Lacrimal Gland Levator Muscle Meibomian Gland Dysfunction Orbicularis Muscle Orbital Septum 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Ophthalmology and Division of Plastic SurgerySt. Louis University School of MedicineSt. LouisUSA
  2. 2.Oculoplastic Surgery, Department of OphthalmologyAssaf Harofeh Medical CenterBeer YaacovIsrael

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