fig1
From: The “central six” of ptosis repair: eliminating contour as a variable in external levator surgery
Figure 1. Surgical steps. A: after a blepharoplasty has been performed, the amount of levator resection is marked; B: a 15 Bard-Parker blade is used to cut through superior marking down to Mueller’s muscle; C, D: the upper border of tarsus is exposed and the central 6 mm of tarsus is marked; E, F: a 6-0 silk suture is placed at the medial mark in a horizontal mattress fashion; G: a second 6-0 silk suture is placed at the lateral mark; H: the levator is advanced with two paracentral sutures. No sutures are placed outside of the central 6 mm; I: adequate lid height and symmetry is checked
