Failed Mullerectomy. What revision technique shall be done, when and by who? (Photo)

Stop using up the resources that are needed to definitively fix your upper eyelid. The Mueller's muscle conjunctival resection ptosis surgery is very popular with surgeons. The reason is that it is quick and anatomically simple. The reality is that it is so popular that in some fellowship training program, that is the only ptosis surgery that is taught to fellows. That is bad because this surgery is only effect when the levator aponeurosis is internally attached to the upper eyelid tarsus. There is a very common circumstance where the aponeurosis actually disinserts in the eyelid. This is called central levator disinsertion. You appear to have this. The Muellerectomy works by folding the aponeurosis, but when the tendon does not attach to the tarsus the surgery is largely ineffective. Repeating it does not change the anatomy. What you need is an anterior levator resection ptosis surgery. Your eyes can be your best feature.