Numerical correlation of levator advancement in preoperative planning

Valeria Makeeva, Sherry S. Collawn, Evelina N. Pierce, Mina S. Mousa, Jennifer H. Yang, Peter N. Davison, Elodie C. Jospitre

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Several procedures have been proposed for the treatment of eyelid ptosis, and both levator advancement and levator plication are widely used to shorten the levator palpebrae superioris. The purpose of this study was to quantify perioperative lid measurements in patients undergoing bilateral levator aponeurosis advancements to aid in preoperative planning. Methods: Between July 2014 and June 2016, the authors performed a retrospective analysis of all bilateral upper eyelid levator advancement procedures for ptosis performed by the senior surgeon. There are a total of 21 patients (6 men and 15 women) witha mean age of 63 years (range, 48-79 years). The average time at follow-up was 5.3 months, with a range of 1 to 26 months. Results: In this retrospective study, we collected data on presurgical measurements including marginal reflex distance 1 (MRD1), surgical technique used (symmetrical/asymmetrical levator advancement) with millimeters of advancement used, and postsurgical measurements. We found that on average, an advancement of 4 mm led to an improvement in MRD1 of 2.26 mm (n = 14), and advancement of 5 mm led to an improvement in MRD1 of 2.74 mm (n = 15). Patients also reported improvements in their quality of life. Conclusions: Our results may be used to guide clinicians in preoperative planning.

Original languageEnglish (US)
Pages (from-to)S279-S281
JournalAnnals of plastic surgery
Issue number6
StatePublished - Jan 1 2017


  • Blepharoplasty
  • Eyelid ptosis
  • Levator advancement
  • Levator plication
  • Marginal reflex distance 1

ASJC Scopus subject areas

  • Surgery


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