Failed mullerectomy? No improvements. (photos)

You are still early in the healing phase.  I have found that with Mullerectomy some people will have a wide open eye the next day, and for others it will slowly creep up over several weeks.  So give it time and you may be happy with the result.  

It is still too early to tell the final outcome of eyelid ptosis surgery at 3 weeks. Need to give it up to 3 months. Discuss with your surgeon again.

However, it is far too early to through in the towel yet.  You are still pretty early from this surgery.  Please let this heal for a full 3 months before declaring that your surgery is a bust.  The upper eyelid can be revised using an anterior levator resection ptosis surgery.  Please let your self heal and then please repost and give us an update.

Sorry your eyelid is still drooping.  I tell patients undergoing muellerectomy (internal ptosis repair) that there is about a 10% reoperation rate.  There can be many factors that can be unpredictable in terms of the healing and the result obtained, and I have done well over a 1500 ptosis surgery repairs.  Also, some patients with congenital ptosis the internal approach just doesn't work.  I will only use it on patients that respond well to what we call the phenylephrine test.  Since you are only 3 weeks out, it still may improve.  I've seen in rare circumstances the repair improve over a few months.  It doesn't appear that you have much swelling left, so this is hard to say.  An external incision approach could be done, and should work well.  The external approach can be tougher sometimes to obtain the desired symmetry in terms of contour and elevation, but carries a high satisfaction rate.  Best regards.  

Experienced oculoplastic surgeons have differing opinions on the use of mullerectomy. Some surgeons never use it because it removes normal lining of the posterior lid and may remove some accessory glands. Often patients who have this procedure notice slipping of the lid level over time. Muller's muscle may be the physiologic source of the ptosis in a small minority of cases. When it is used for levator dehiscence, congenital, or myogenic ptosis, it does not directly address the source of the problem - the levator muscle. After any kind of ptosis surgery, it is best to wait several months before considering another procedure. You may find that the lid elevates as the edema resolves. Best wishes.