Cosmetic eyelid reconstruction – the 3-dimensional approach

By Joseph Walrath, MD | Jun 5, 2012 | Featured

Below is the preoperative view of a patient’s left eyelids, which cannot close properly. There is a small gap visible between the eyelids. Her eye is uncomfortable.


The eye cannot close properly on the left because the lids have lost their bony attachment at the outside corner. From the side view, there is less of the “white triangle” of the eyeball visible (as seen in the right half of the image below).


After surgery, the left eye closes better and the “white triangle” is restored. During the surgery, a lower lid implant was placed. A collagen implant patch was also placed to help provide additional eyelid support to prevent a recurrence. The pre-post pictures are depicted below: