Tarsal–Conjunctival–Müller’s Muscle Resection (Fasanella–Servat Operation)

  • Javier Servat


The Fasanella–Servat operation is one of the simplest operations for ptosis and is used mainly in mild to moderate blepharoptosis with good levator function. It can correct up to 2 mm of congenital ptosis and 2.5–4 mm of acquired ptosis. Since its creation in 1961, the operation has become more refined. Many of its modifications have been oriented at increasing the amount of correction of ptosis, secure a proper contour, and preventing ocular surface abrasions. Proper patient selection is fundamental for its effectiveness.


Ptosis Fasanella Servat Tarsectomy Phenylephrine test Conjunctivo-Müllerectomy Putterman clamp 

Supplementary material

419986_5_En_21_MOESM1_ESM.mp4 (144.6 mb)
Video 21.1 Fasanella–Servat procedure. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 148056 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Javier Servat
    • 1
  1. 1.Department of OphthalmologyUniversity of GeorgiaSuwaneeUSA

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