This man had problems opening his eyes after cataract surgery 8 years ago (which sometimes happens if there is persisent inflammation causing the muscles that open the eyes to weaken). Unfortunately, his surgeon was unable to do the surgery and so he consulted another private eye surgeon who told him that there are no surgeons in Sarawak who can do this type of surgery and ask him to consult an oculoplastic surgeon in Kuala Lumpur. He went to Kuala Lumpur last month and was surprised to be told by the oculplastic surgeon there that the correction can be done in Kuching and referred him to me. Below shows pictures of his progression. The procedure that I did was levator advancment which involves reattaching the detached muscles and as he had excess skin (dermatochalasis) so I also removed the excess skin at the same time.