Figure 1: Surgical procedure (technique). (a) Three double-armed vicryl 6.0 sutures 3 mm apart were passed from the underlying surface of the free edge of the levator aponeurosis. (b) One arm is passed through the upper part of the anterior surface of the tarsal plate and then through the lower skin edge. The other arm was passed through the upper skin edge. (c) The two arms were tied temporarily in a releasable manner. Four 6.0 black silk sutures were used for additional skin closure.