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November 1988

The Levator Muscle in Cosmetic Blepharoplasty

Author Affiliations

Oakland, Calif

Arch Otolaryngol Head Neck Surg. 1988;114(11):1231. doi:10.1001/archotol.1988.01860230025014

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The levator muscle in cosmetic blepharoplasty was the topic discussed by Dr Ferdinand Becker, Vero Beach, Fla, at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla. Ptosis is quite common and must be considered when a patient asks for correction of his eyelids. Blepharoplasty alone will not suffice. Dr Becker classifies ptosis as congenital and acquired. Patients with congenital ptosis give a history of a lifetime problem and should be referred to the oculoplastic surgeon. Acquired forms are due to detachment of the levator aponeurosis at the tarsal plate. Also, simple self-inflicted trauma imposed on involutional atrophy of the levator aponeurosis may be sufficient to cause ptosis.

The classic appearance is ptosis with a high lid crease, which is evidence of good levator function. The limbus diameter is 11 mm; normally, 2 mm of the cornea is covered by the upper

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