The right eye required retraction repair; the left eye showed severe multiple upper eyelid creases, with the lateral aperture also opening too widely.
Closed-eye view of the scarring.
Skin was severely lacking, the scarring was significant, and almost no internal fat tissue remained.
Six months post-op.
The retracted eye is now covering the iris properly, and the multiple upper eyelid creases have substantially improved.
One side, however, lacks volume in the sub-brow region and looks slightly hollow.
This is a volume deficit rather than multiple upper eyelid creases, so fat grafting is the appropriate next step.
We plan to perform fat grafting as a second-stage procedure.
For a complex double eyelid revision case, this is a strong outcome.