in the use of this clamp assembly if molded integral with the first clamp 20 the additional clamp elements 21 and 22 are detached from it fig5 before the first clamp is applied to the skin tissue 5 fig6 on which surgery is to be performed in the case of an eyelid the first clamp 20 is applied as shown in fig6 to make sure the eye closes before the skin is cut as shown in fig7 bolt 30 is turned to tighten this clamp the first clamp clamps a fold of skin that is to be removed surgically the end edge 27 of clamp arm 23 and the corresponding end edge of clamp arm 24 substantially define the lien along which the skin is to be cut hereinafter called the 34 cut line 34 next as shown in fig9 the additional clamp elements 21 and 22 are placed against the proximate segments of the skin which are joined respectively to the fold of skin that is to be removed surgically the edge 32 of clamp element 21 is positioned as close as possible to the end edge 27 of the laterally elongated end segment 26 of clamp arm 23 likewise the corresponding edge of clamp element 22 is positioned as close as possible to.