After the orbital volume has been restored and the lower lid is no longer drooping, a new prosthesis is provided to maximize the benefits of the changes so far. At this point the upper lid ptosis is often improved because the new eye
re-establishes the normal support for the levator muscle complex that moves the upper lid. Any residual ptosis is assessed and corrected using a variety of techniques depending on the amount of lift required and degree of levator function evidenced.

A common technique is levator resection. This is done anteriorly through the site of the intended skin crease of the
upper lid, or posteriorly through the onjunctiva. The levator muscle is detached from the surrounding tissues and shortened before being reattached to the upper edge of the tarsal plate.