Related Experiment Video
Updated: Sep 19, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
A fast and easy-to-perform noninvasive Muller's muscle sublimation technique using plasma technology for treatment of
1Negah Aref Ophthalmic Research Center, Negah Eye Hospital, Tehran, Iran. nasrinraffati@gmail.com.
Background:
Currently, most surgeons favor Muller's muscle conjunctival resection as a treatment for mild-to-moderate ptosis, as this method is associated with fewer post-surgical complications.
Case Presentation:
This case series of six Iranian women aged between 15 and 65 (mean 43) years with mild-to-moderate ptosis treated at Negah Eye Hospital used a plasma scalpel (PLEXR™) for conjunctivo-Muller sublimation. A 1-4 area management strategy was applied, and margin reflex distance 1 measurements showed improvement from 1.58 mm pre-treatment to 3.66 mm after 6 months.
Conclusion:
Seemingly, applying plasma technology to treat mild-to-moderate ptosis via conjunctivo-Muller muscle sublimation might be a promising alternative to more invasive surgical methods.

