The procedure involves freezing the skin lateral to the eye with lidocaine with epinephrine.[1] The lateral corner of the eye is then briefly crushed with a hemostat.[1] A 1 to 2 cm cut is then made through this tissue with blunt tipped scissors.[1] The lower eyelid is then pulled away to expose the lateral canthal tendon.[1] The lower part of this tendon is than cut with the scissors.[1] If this is not sufficient the upper part may also be cut.[1]