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

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



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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