Even though an anterior approach is an elegant option for ptosis repair, results can be inconsistent. That’s why Dr. Jeffrey Nerad now uses a posterior approach in 70% of his patients. The technique affords good lid height and provides better results for lid contour than an anterior approach. While he was hesitant to switch techniques, Dr. Nerad says it was easy enough to learn. A posterior approach is safe and predictable, induces less trauma, and promotes faster healing.