In every operation for ptosis, one should, for cosmetic considerations, attempt to produce a correctly placed fold in the eyelid. In 1923,1 I described an operation for ptosis in which I attempted to raise the eyelid by shortening the levator and by diminishing the size of the tarsus. Even in this first report I designated as an objectionable feature of this operation the fact that the fold in the lid sometimes becomes displaced toward the edge of the eyelid. Figure 1 shows that a good position of the lid can be produced with this method. In the article referred to I also described a method for subsequently correcting this undesirable displacement of the fold.
Since my operation for ptosis gave good results otherwise, and since any degree and kind of ptosis could be completely corrected by it, I attempted even in the first operation to avoid the aforementioned mistake.