title: Single-suture technique for combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection.
abstract: OBJECTIVE
  To describe a technique using a single suture to perform combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection.
  
  
  METHODS
  Retrospective surgical case series.
  
  
  RESULTS
  The procedure was performed in 24 eyelids of 12 patients, with 3 cases including a 1-mm tarsectomy. Average improvement in margin-to-reflex distance 1 was 2.5 mm, and 22 of 24 cases (92%) achieved final margin-to-reflex distance 1 within 1 mm of the target predicted by phenylephrine testing. Surgical revision was required in 1 case of overcorrection and 1 case of recurrent ptosis.
  
  
  CONCLUSIONS
  Combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection can be performed with a single suture while maintaining the surgical effectiveness of both the procedures.
authors.affiliation: Ophthalmology Service, Walter Reed National Military Medical Center, Bethesda, Maryland 20889, USA. raymond.cho@us.army.mil
authors.forename: Raymond
authors.initials: R
authors.lastname: Cho
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques