CORRECTION of ptosis by a single, buried, permanent suture anchoring the lid to the frontalis muscle was originally described by Friedenwald and Guyton in 1948.1 Because, to our knowledge, nothing has appeared in the literature on this subject since that time, it is considered worth while to evaluate the results in a series of 35 cases of blepharoptosis treated by this method.
The technique, as described by Friedenwald and Guyton, is as follows: Two small stab incisions are made at the upper border of the brow, one 5 mm. lateral to the nasal termination of the brow and the other approximately 3 cm. lateral to the first. Each incision is made down to the periosteum. Two tiny incisions are then made through the skin of the upper lid, 2 mm. above the lid margin and about 2 cm. apart, placed symmetrically so that they lie about 7 mm.
SMITH B, PANG HG. BLEPHAROPTOSIS TREATED BY THE FRIEDENWALD-GUYTON SUTURE. AMA Arch Ophthalmol. 1953;49(1):45-48. doi:10.1001/archopht.1953.00920020048007