Fig. 10. A. A skin incision is made through the eyelid crease, and three double-armed 4-0 black silk sutures are passed full-thickness immediately above the superior edge of the tarsus, exiting through the upper edge of the lower section of the eyelid skin. A brow incision is made above the middle one third of the eyebrow. B. Incisions are made through the eyelid skin 1 mm above the lash margin, each incision being 2 to 3 mm in length. The medial incision is made at a position corresponding to the medial limbus of the eye in the primary position. The lateral incision is made 2 mm lateral to the lateral limbus. A straight needle is used to pass the silicone rod or fascial strip across the eyelid into the epitarsal space. C. A curved needle is used to pass the silicone or fascia to the brow incision. D. If a silicone rod is used, it is passed through a Watskie sleeve and the eyelid height adjusted. If fascia is used, the fascia is tied.