A new ptosis correction technique: a modification of levator aponeurosis advancement

There are many methods in ptosis surgery. These methods can be high or low in recurrence, and require a range of skill levels. In addition, there are many advantages to a procedure that may require much skill; while there are few advantages to some easy techniques. In our technique, not one disadvantage was seen. Eight patients with unilateral ptosis were corrected with modification of the Levator advancement procedure. Seven of the 8 patients achieved good results, with the correction within 1 mm of the opposite eyelid. Undercorrection was observed only in one patient. No other complications related to technique were seen. Levator advancement procedure is still an effective procedure but in this procedure, the major drawback is that the technique is irreversible. Remaining aponeurosis element is usually discarded and, because of it, re-correction in cases of under or overcorrection complications is not possible. This modified method is limited to this situation because there is no resection in levator aponeurosis. In addition, the technique is simple and safe. Eyelid lag on downgaze improves considerably over time, and the remaining asymmetry between the two eyelids is cosmetically acceptable to most patients.