fig21
![Evaluation and management of acquired ptosis](https://image.oaes.cc/91178549-a547-4c8d-ad7a-e9e75cada58f/3430.fig.21.jpg)
Figure 21. A: tarsolevator advancement is generally performed by initially dividing the central levator aponeurosis, sparing the medial and lateral horns; B: once the levator aponeurosis is elevated off Mueller’s muscle, avoiding the superior arcade, a double-armed 6-0 silk single suture is placed through the midline of the superior tarsal plate and through the musculoaponeurotic junction with an adjustable knot anteriorly