The current method of blepharoptosis revision utilizes the aponeurosis and muscle incision in
order to advance or shorten the Muller’s muscle or the levator papebrae superioris muscle. However,
this procedure commonly results in asymmetry, and the procedure to correct it or to have multiple
revisions remains difficult. In replacement of this procedure, a microincision procedure was conducted
using the conjunctival approach. With this method, mild to moderate cases are corrected with
two to three 1 mm incisions to pull the Müller’s muscle or the levator papebrae superioris muscle. We
have been fifthy cases with non-incision transconjunctival Müller tucking from October 2011 to
December 2011. 49 patients in study show satisfatory. In only one patient, incomplete correction was
observed. The results are similar to the previous method and the recovery period remains the same
at one to two weeks. In the case of unilaterality, the results are far superior. In addition, revision procedures
of under-correction or over-correction are easily done and the surgical techniques required
for revisions are simple. Inexperienced doctors are also able to apply this method successfully, so it
is a recommended procedure. This method is called the Non-incision transconjunctival Müller
Tucking or the Reverse Müller Tucking.