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  • Courtesy of N. Grace Lee, MD
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    Small-incision external levator advancement surgery. A, Intraoperative view shows the 1-cm incision at the upper eyelid crease. B, The septum is opened, revealing the preaponeurotic fat pad (arrow). C, The tarsus is cleared (arrow). D, A suture is placed through the tarsus at partial thickness and through the levator aponeurosis (arrow).