The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Dermatochalasis

Photo by Professor Chua Chung Nen

This 78 year-old man presented with reduced visual fields and problems with reading because of bilateral dermatochalasis. Bilateral upper blepharoplasty were performed. His only complaint was that his neighbours could not recognise him unless he open his mouth. The eyes are the most recognised parts of a person's face and any changes in shape can have a profound effect on the whole facial appearance.

 

Pre-operative appearance.

 

6 weeks post upper lid blepharoplasty.

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