ABSTRACT
There are many established plastic surgical techniques to effectively address blepharoptosis.
Minimally invasive levator advancement (MILA) causes limited disruption to the anatomy
while maintaining good height, contour, lid folds, function, and long-term stability.
This procedure has been performed in more than 1000 patients since 1993 by the author
with consistent, durable results and is a reliable method to correct blepharoptosis.
It is not indicated in cases with absent to very poor levator function, where frontalis
suspension is the preferred procedure. The MILA technique will be described and illustrated.
KEYWORDS
Minimally invasive levator advancement (MILA) - classic levator advancement (CLA)
- avascular pyramid - attenuated levator aponeurosis - orbicularis shift
REFERENCES
- 1
Frueh B R.
The mechanistic classification of ptosis.
Ophthalmology.
1980;
87
1019-1021
- 2 Beard C. Ptosis. 3rd ed. St. Louis, MO; Mosby Co. 1981
- 3 Dutton J J. A Color Atlas of Ptosis. Singapore: PG Publishing 1989
- 4
Frueh B R, Musch D C, McDonald H M.
Efficacy and efficiency of a small-incision, minimal dissection procedure versus a
traditional approach for correcting aponeurotic ptosis.
Ophthalmology.
2004;
111
2158-2163
- 5
Lucarelli M J, Lemke B N.
Small incision external levator repair: technique and early results.
Am J Ophthalmol.
1999;
127
637-644
- 6 Burkat C N, Lemke B N. Small incision levator repair revisited: technique, long
term results. Presented at the 2005 ASOPRS Scientific Symposium Chicago, IL; October
15, 2005
- 7
Jones L T, Quickert M H, Wobig J L.
The cure of ptosis by aponeurotic repair.
Arch Ophthalmol.
1975;
93
629-634
- 8
Anderson R L, Beard C.
The levator aponeurosis.
Arch Ophthalmol.
1977;
95
1437-1447
- 9
Anderson R L.
Aponeurotic ptosis surgery.
Arch Ophthalmol.
1979;
97
1123-1128
- 10
Jordan D R.
Correcting aponeurotic ptosis.
Ophthalmology.
2006;
113
163-164
Hector McDonaldM.B. B.Ch. F.R.C.S.C.
700 Hillsdale Road, Ottawa
Ontario, Canada K1L 8L2
eMail: hmcdonald@revisage.ca
