Orbicularis oculi bulging when smiling, which procedure to address this? (Photos)

You have a double fold and that feature needs to be respected when addressing the upper eyelid ptosis. That is done surgically. Precisely what you need can only be determined during an in person consultation. You should be skeptical of surgeons who perform their consultation via zoom. It may be...

If you want a proper assessment, then I suggest scheduling in person, consultations with plastic surgeons, facial plastic surgeons, or perhaps better oculoplastic surgeons. Without seeing pictures, we can’t begin to make an assessment. Best, Mats Hagstrom, MD

You had ptosis before surgery and your recent surgery made things much worse. The problem was not the prior surgery. The problem is that like many surgeons performing eyelid surgery, she does not understand eyelids and does not understand eyelid anatomy. With the preoperative appearance you had,...

It appears that your eyelid retraction is more severe than you think, based on these photos. It may require more than canthopexy? In person consultation with a couple of very good board certified plastic or Oculoplastic surgeons to discuss your options is recommended. Good luck.

It is hard to tell in the picture, but it also looks like you have some significant brow asymmetry which is contributing to the eyelid asymmetry. A blepharoplasty would certainly help some of the excess skin, but I would be concerned this would not address the overall asymmetry which likely...

The location and pattern of these holes seem to coincide with where your sutures were placed in your skin. Frankly, this is an unusual situation. Without examining you, I suspect that since this is likely all skin deep, a scar revision may be helpful for you. Please consider discussing this with...