https://blog.naver.com/medicdoctor/221881089627
A long-term follow-up on a patient I posted about before.
When she first came in, the conjunctiva was heavily exposed like this.
One side had multiple folds and was failing to open properly, leaving the conjunctiva visible.
When we reopened the lid for the early revision, the levator was injured. We cleaned up the damage and used the conjoint fascia sheath to restore proper eye opening.
Pre-op.
One week.
One year.
About two years.
The result has held up — perhaps not perfect symmetry, but well over 90% close, in my view.
By any reasonable measure, this is a good outcome.
The conjoint fascia sheath (CFS) is an elastic structure that sits deeper than the levator. Working with it requires a technically demanding surgical approach.
It's a procedure that calls for a board-certified plastic surgeon with substantial experience.