This procedure is usually carried out under local anaesthetic. An incision is made in the upper lid and the disinserted levator muscle is re-attached to the upper lids tarsal plate. It is important that the height and contour of the lid is assessed per-operatively to ensure adequate postoperative appearance and function.
Lagophthalmos: If the lid is left too high postoperatively, the eye will not close fully and the cornea will be at risk of exposure keratopathy. If the lagophthalmos is marked, the patient may require another operation.