fig21

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