Fig. 4. Pentagonal block eyelid resection. A. Tarsal approximation provides the foundation for eyelid closure. PDS suture is used to approximate the base of the tarsus (suture a). The lid margin is closed by a suture angled from the eyelid margin (suture b). B. Sutures at the eyelid margin are totally without tension and are generally of 6-0 or 7-0 silk.