Blepharoplasty (Hotz operation) is a fre-quently used plastic surgery. The embedded-ligature technique was improved by the in-clusion of the M. levator palpebrae superiorisand orbicularis ocularis in the ligation afterthe ligatures being tied. It had the benefit ofbeing a reliable ligation with less operativerisk from loosening of the ligatures. It hadbeen used clinically in 40 cases, 23 of whichhad been followed from 3 to 16 months.Complication developed in 2 cases, the resthad a satisfactory results.