PurposeTo describe and present the results of a modified surgical technique to repair floppy eyelids.MethodsA case series of 5 patients who were treated with the modified technique is presented. This technique uses the relaxed skin tension lines to tighten the lids in an aesthetically minded reconstruction.ResultsAll patients had relief of symptoms and good cosmetic and functional results. Average follow-up was 39 months. Complications were minor and easily treated.ConclusionsThis modified surgical technique provides excellent long-term structural integrity of the wound with a potentially more acceptable camouflaged scar.