![](../../../imagens/14-01-07-fig02.jpg)
Fig. 2 - Through the superior lid wound we catch the periosteum of the superior orbital rim.
![](../../../imagens/14-01-07-fig03.jpg)
Fig. 3 - The needle comes out of the incision at the lateral canthus.
![](../../../imagens/14-01-07-fig04.jpg)
Fig. 4 - The needle is introduced in the same cutaneous incision, catching the inferior branch of the lateral canthal tendon.
![](../../../imagens/14-01-07-fig05.jpg)
Fig. 5 - The needle comes our near the thread in the superior lid wound, where the final tie is made.
![](../../../imagens/14-01-07-fig06.jpg)
Fig. 6 - Completed superior lid Suture.
![](../../../imagens/14-01-07-fig07a.jpg)
Fig. 7a - Female patient with bilateral ptosis and inferior scleral show.
![](../../../imagens/14-01-07-fig07b.jpg)
Fig. 7b - Postoperative view. Superior lid blepharoplasty with CO
2 laser Ultrapulse and correction of ptosis. Lower lid transconjunctival blepharoplasty, facial resurfacing and canthopexy.
![](../../../imagens/14-01-07-fig07c.jpg)
Fig. 7c - Preoperative oblique view.
![](../../../imagens/14-01-07-fig07d.jpg)
Fig. 7d - Postoperative oblique view.
![](../../../imagens/14-01-07-fig08a.jpg)
Fig. 8a - Female patient with senile ptosis and inferior scleral show.
![](../../../imagens/14-01-07-fig08b.jpg)
Fig. 8b - Postoperative view. Superior lid blepharoplasty with CO
2 laser Ultrapulse and correction of ptosis. Lower lid transconjunctival blepharoplasty, aesthetic resurfacing of the peri-orbital area and canthopexy.
![](../../../imagens/14-01-07-fig08c.jpg)
Fig. 8c - Preoperative oblique view.
![](../../../imagens/14-01-07-fig08d.jpg)
Fig. 8d - Postoperative oblique view.
![](../../../imagens/14-01-07-fig09a.jpg)
Fig. 9a - Female patient with dermochalasis, xantelasmas, fatty bags of superior lid. Advanced photo aging of the skin.
![](../../../imagens/14-01-07-fig09b.jpg)
Fig. 9b - Postoperative view. Superior lid blepharoplasty with CO
2 laser Ultrapulse. Lower lid transconjunctival blepharoplasty, facial resurfacing and canthopexy.
![](../../../imagens/14-01-07-fig09c.jpg)
Fig. 9c - Preoperative oblique view.
![](../../../imagens/14-01-07-fig09d.jpg)
Fig. 9d - Postoperative oblique view.
![](../../../imagens/14-01-07-fig10a.jpg)
Fig. lOa - Male patient with dermochalasis, antimongoloid obliquity, scleral show.
![](../../../imagens/14-01-07-fig10b.jpg)
Fig. lOb - Postoperative view. Superior transconjunctival blepharoplasty with CO
2 laser Ultrapulse. Inferior transconjunctival blepharoplasty, periorbital resurfacing and canthopexy. Total corretion of flacidity and lid position.
![](../../../imagens/14-01-07-fig10c.jpg)
Fig. lOc - Preoperative oblique view.
![](../../../imagens/14-01-07-fig10d.jpg)
Fig. lOd - Postoperative oblique view.