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

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

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Midface lift

Photo by Professor Chua Chung Nen

This patient suffered from left ocular expsoure as a result of facial palsy following excision of an acoustic neuroma 10 years ago. Despite medial canthoplasty, she still had significant conjunctival exposure mainly because of midface drooping. A transcutaneous midface lift was performed to elevate the SOOF (suborbicularis oculi fat). Post-operatively, she was able to close her left eye better and there was an improvement of the midface asymmetry.

 

Left lower facial nerve palsy with conjunctival exposure.

 

One day post-midface lift.

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