Sagging eye syndrome manifests as small-angle esotropia and hypotropia, a result of lateral rectus-superior rectus (LR-SR) band degeneration caused by aging. Heavy eye syndrome generally manifests as large-angle esotropia and hypotropia, called strabismus fixus, a result of LR-SR band rupture caused by myopic eyeball change. This video shows a case of sagging eye syndrome presenting as a form of strabismus fixus, which usually presents with heavy eye syndrome, in which a promising result of an LR-SR slinging procedure using a silicone band and sleeve is achieved.