Upper eyelidEyelid ptosisPtosis repair utilizing frontalis suspensionFrontalis suspension is indicated for patients with moderate to severe ptosisPtosis due to impaired levator muscleLevator muscle function. In this procedure, the frontalis muscle is secured to the upper eyelidEyelid tarsal plate using a sling material, such as synthetic suture, silicone rod, or autogenous or cadaveric fascia lata. By elevating the upper eyelidEyelid in primary gaze, frontalis suspensionFrontalis suspension improves both functional and aesthetic concerns in affected patients. In this chapter, the authors describe the surgical techniqueSurgical technique and highlight key considerations that contribute to achieving excellent patient outcomes and optimizing surgical efficiency.