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1Introduction

Currently there are no good solutions for dynamic reconstruction of the upper eyelid. Techniques involving springs, magnets, local muscle flaps, and free flaps have all failed to provide predictable eyelid closure.

The most reliable closure technique has involved placement of a weight within the upper eyelid, allowing closure to occur by gravity. With this technique, the patient learns to relax the levator muscle, allowing the weight to bring the upper eyelid down.