Right eye covered by the upper eyelid skin because of eyebrow droop.
The picture on the right shows the right forehead muscle is non-functioning
due to previous facial paralysis.
There were two solutions to the problem: either the excess eyelid could be excised or the eyebrow could be lifted to open the eye. If the excess eyelid were excised, the eyebrow would droop further and aesthetically the result is poor. The best solution was to lift the eyebrow which would also balance the height of the two eyebrows to give an aesthetically pleasing result.
Steps in lifting the eyebrow directly. a. The height of the droopy eyebrow is lifted
to the same level as the normal side; b and c. The amount of skin that needs to be
excised to achieve this is drawn; d. the height is rechecked; e. the skin is excised
and f. closure of the defect lift the eyebrow, initially the amount of lift is more
than expected due to suture tension this would loosen over the next few days.
Good height at one week postoperative.