What has been your experience using sutureless Müller’s Muscle-Conjunctival Resection (MMCR) for ptosis repair?

Personally, I get the desire to be less interventional, but if you are going to do this and it is 'less aggressive' than a levator resection, just put in a suture; it is not so hard.

I performed the sutureless technique as described by Dr. Keenum (with modifications) a handful of times and had variable results. I suspect a lot of the variability I had was subject to not having the long and narrow angle-tipped bipolar forceps he designed (which would allow for the entire dissected Muller muscle/levator complex to receive an equal amount of cauterization).

That said, some of the variability I experienced may have been due to a different factor. I’ve also changed my practice in...