Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique

Figure 1

Surgical steps. (a) Infiltration of the local anesthesia intended skin crease. (b) A 4-0 silk suture was passed through the grey line of the upper lid. (c) The conjunctiva was cut 1 mm away from the upper border of the tarsal plate by monopolar. (d) Blunt dissection of the conjunctiva off the Müller muscle. (e) Conjunctival tractional suture. (f) Incision of the Müller muscle along the same line with monopolar cautery. (g) The white line is often found posteriorly. (h) Dissection of the anterior surface of the tarsal plate from the pretarsal orbicularis muscle.

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