Transcutaneous Blepharoptosis Surgery - Advancement of Levator Aponeurosis

Salman Waqar*, 1, Catherine McMurray1, Simon N. Madge1, 2
1 West of England Eye Unit, Royal Devon and Exeter Hospital (Wonford), Exeter EX25DS, UK
2 Hereford County Hospital, Hereford, UK

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© Waqar et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the West of England Eye Unit, Royal Devon and Exeter Hospital (Wonford), Exeter EX25DS, UK; Tel: 07875427149; E-mail:


Ptosis surgery has seen many advances in the last few decades, the most important of which have emerged as a result of better understanding of the anatomy and physiology of the eyelid and orbit. Anterior approaches such as a levator aponeurosis advancement, tarsoaponeurectomy and posterior repair involving resection of Muller’s muscle have proven to be effective in most cases. The focus of this article is a discussion of the indications, operative techniques, success rates and complications of transcutaneous levator advancement in detail.

Keywords: Transcutaneous blepharoptosis surgery, levator aponeurosis, blepharoplasty.