Minimally Invasive Levator Advancement: A Practical Approach to Eyelid Ptosis Repair

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

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