70 yr old female has a drooping lft eyelid obstructing her vision and has consented to having the blepharoptosis repaired. a skin marking pencil was used to outline the external proposed skin incision on the lft upper lid. the lower edge of the incision was placed in the prominent lid crease. the skin was excised to the levator aponeurosis. an attenuated area of levator aponeurosis was dehisced from the lower strip. three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue superiorly to the intact tissue inferiorily. this provided moderate elevation of the lid