Orbicularis plication for ptosis: a third alternative.

The surgery involves exposure of the orbicularis oculi muscle via a skin flap starting near the upper orbital margin then progressing downward. The orbicularis oculi fibers near the lid margin are then joined to the proximal orbicularis fibers and the skin flap is sutured back to normal position. Over 9 years, 265 operations have been performed on a wide variety and severity of ptosis. The technique is a viable addition/alternative to the existing methods of ptosis surgery.