Choice of surgical option for lagophthalmos correction (use of encircling allotendinous string or fixation of medial aspect of the lower tarsal plate) in patients with chronic facial palsy is proved. This technique was reinforced with dissection of the tendon or superior tarsal muscle resection and lateral canthopexy. The advantages of surgical methods considering clinical aspects (in particular the degree of medial canthal tendon laxity) are shown.