目的 寻找一种治疗先天性重症上睑下垂的筒单有效的手术方法。方法 按照重睑成形术原则设计重睑线,作眉弓下辅助切口,以瞳孔中线为中心,作一上宽2cm,下宽1.5 cm的额肌瓣,并将其缝合至睑板上缘处。结果在30眼中26眼治愈（占86％）,4眼基本治愈（占14％）,双重睑形成自然美观,无畸形。结论 该术式简单,组织损伤小,出血少,效果好。是先天性重症上睑下垂的首选手术方式。 Objective To find a simple and effective surgical method for the treatment of congenital severe blepharoptosis. Methods According to the principle of double eyelidoplasty, the double eyelid line was designed as an auxiliary incision under the eyebrow arch. The frontal muscle flap with a width of 2 cm and a width of 1.5 cm was centered on the midline of the pupil and sutured to the upper edge of the tarsus . Results In 30 eyes, 26 eyes were cured (86%) and 4 eyes were basically cured (14%). The double eyelid formed a natural and beautiful appearance without deformity. Conclusion The technique is simple, less tissue damage, less bleeding, the effect is good. Congenital severe ptosis is the preferred surgical approach.