Objective To compare the efficacy of three surgical methods in clinical treatment of blepharoptosis: conjoint fascial sheath suspension, frontalis muscle suspension, and shortening of musculus levator palpebrae superioris. Methods Articles related to the three surgical methods were retrieved from Chinese and English databases such as CNKI, Wanfang, VIP, PubMed, Embase, and The Cochrane Library. Data were extracted for network Meta-analysis. Results This study included 28 studies and 1 816 patients. Meta-analysis showed that conjoint fascial sheath suspension outperformed frontalis muscle suspension and shortening of musculus levator palpebrae superioris. Moreover, there was no significant difference between frontalis muscle suspension and shortening of musculus levator palpebrae superioris. The SUCRA curve predicted that the efficacy of three surgical methods in clinical treatment of blepharoptosis was in the following order: conjoint fascial sheath suspension > frontalis muscle flap suspension > shortening of musculus levator palpebrae superioris. Conclusion In the surgical treatment of blepharoptosis, conjoint fascial sheath suspension shows the best outcome. However, plastic surgeons should make comprehensive choices based on the actual clinical situation.
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