This patient had upper eyelid surgery for trauma performed elsewhere years earlier, after which she was unable to close her right eye. Despite some stretching of skin over time, there was still significant shortage centrally. The patient suffered from constant dryness and eye irritation.

She underwent a modified blepharoplasty to reshape the skin drooping temporally and nasally along with a full-thickness skin graft to restore the area of central shortage. (She also underwent lower lid chemical peel.)