This 10-year-old child had mild left-sided ptosis and severe right-sided ptosis. After consultation with his parents, we decided to perform a left-sided levator shortening and a right-sided frontalis flap suspension under local anesthesia, and the child was very cooperative throughout the surgery. The timing of surgery is usually best when the child is 7 or 8 years old and can cooperate with the surgery, as most children with ptosis have unilateral eyes, so it is important to adjust the size of the affected eye according to the healthy eye, so the child needs to cooperate with the opening and closing of the eye in order to adjust both eyes to the same size. Ptosis correction is an outpatient procedure that can be done and sent home without hospitalization and does not interfere with normal life. Tests needed When the time is not right for surgery, it is important to take your child for frequent vision checks to avoid vision loss due to ptosis Pre-operative tests Only routine blood tests and blood clotting tests are needed and the cost is $92 Surgical Costs Ptosis correction – frontalis flap suspension Unilateral cost $2550 Ptosis correction –Elevator shortening Unilateral cost 1800 RMB plus the base fee is 3800 Post-operative care The medication is changed 3 days after surgery and the stitches are removed in about 7 days, the medication change and stitches are free. The most important thing after surgery is to apply ice packs for 3 days, preferably without interruption, to speed up the swelling and shorten the recovery time. For the first three months after surgery, the affected eye cannot be closed, so it is necessary to put eye drops into the affected eye during the day and squeeze erythromycin eye drops into the eye at night to protect the cornea. Generally, you can take oral rituxan or amoxicillin for 3 days, or you can buy pediatric rituxan at the pharmacy. The wound can see water the day after the stitches are removed, and children with frontal flap suspension can use drugs to inhibit scar growth one week after the stitches are inserted.