2026-05-29
Extreme Eyelid Retraction Surgery and Double Crease: 6-Month Follow-up
This case study details a patient's 6-month post-operative progress after extreme eyelid retraction surgery and correction of a severe double crease, with plans for a secondary fat graft.
The right eye underwent retraction surgery, while the left eye had a severe double crease and was large towards the outer corner.
This is the scar condition when the eyes are closed.
There was a significant lack of skin, severe scarring, and almost no fat tissue internally.
This is the condition at 6 months.
The retracted eye is now almost aligned with the pupil, and the double crease has significantly improved.
However, one eyelid appears slightly sunken due to a lack of volume in the upper eyelid.
This is not a double crease but rather a lack of volume, suggesting the need for fat grafting.
A secondary fat grafting procedure is planned.
Given the extreme initial condition, this can be considered a successful surgical case.
Frequently Asked Questions
What changes can be expected 6 months after severe eyelid retraction surgery?
After 6 months, the exposure of the pupil in the retracted eye is adjusted, and multiple folds are significantly improved. In the case study, after 6 months post-surgery, the pupil position was almost normalized, and the severe multiple folds problem also noticeably improved.
What was the patient's eye condition before surgery?
The patient had very insufficient skin and severe scarring. The right eye required retraction surgery, the left eye had severe multiple folds, and there was almost no fat tissue internally, making it an extreme case of eyelid retraction that was difficult to operate on.
Can the eyelids still appear sunken after surgery?
Yes, if there is insufficient fat volume in the eyelids, they may appear slightly sunken. In the case study, although the multiple folds improved, one eyelid still appeared slightly sunken due to a lack of volume, as there was almost no fat tissue internally.
How can the sunken appearance due to insufficient eyelid volume be resolved?
A secondary fat grafting procedure is planned to resolve this. The reason for the sunken appearance is not the recurrence of multiple folds but an absolute lack of internal fat tissue volume, thus additional fat grafting surgery is needed to replenish it.