Figure 1 Surgical procedure. (a) Subconjunctival injection of a mixture of lidocaine and adrenaline. (b) Dissection between the levator and Muller’s muscle. (c) Stab incision at the skin crease. (d) 5-0 vicryl suture passing vertically through the skin incision. (e) A caliper measuring the amount to be plicated. (f) Suture passing horizontally through the levator at the level of plication. (g) Suture passing through the upper tarsus to exit through the stab incision. (h) Temporary knot to assess the efficacy of the suture.