Abstract
There is a difference between an excuse and a reason. Between 1957-1988, out of a total of 684 patients with ptosis 436 (63%) had had at least one previous attempt at correction. The referral letters maintained that immediately after surgery there was an improvement and then It was to find the reason for this excuse that my interest in the subject developed. There were also certain other clinical cases that I found difficult to explain on the basis of the anatomy as I knew it then and when an opportunity presented to dissect fresh cadaver specimens I readily took it. Only road accident cases were dissected, and only where normal facial features were confirmed from licence photographs.
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