Modified adjustable technique to anchor the levator muscle to the flap used in total upper eyelid reconstruction

Total, full thickness loss of the upper eyelid due to trauma, was reconstructed using the Mustardé total upper lid reconstruction method. The immobile flap was then anchored to the avulsed levator muscle at a second stage, using the technique described by Collin and O'Donnell for the correction of eyelid ptosis. We modified the technique by using two rows of anchor sutures instead of one and found it effective in raising the reconstructed eyelid in the traumatic case presented.