Abstract: Objective To explore the feasibility of the frontal muscle flap suspension in recreating the eye aesthetic characters and the 3 dimensional structure in the patients with poor upper lid ptosis correction.Methods Seven cases of patients with poor upper lid ptosis correction were operated by frontalis muscle flap suspension to recreate the eye aesthetic characters.After operation,the following contents were evaluated: upper eyelid sulcus,crease increase of upper eyelid,compensatory shift of ipsilateral eyebrow and mild drooping of upper eyelid.Results The follow-up period was 3-6 months.Six patients obtained obvious results and one patient thought the result is acceptable.No surgical complications was observed.Conclusion Frontalis muscle suspension technique is available for patients with poor upper lid ptosis correction to restore their ocular aesthetic structure.

Key words: Upper lid ptosis, Frontalis muscle flap, Eye aesthetics