Short eyelids after blepharoplasty 2 years ago - might need skin graft? (Photos)

The gap that occurs when you try to close your eyelid is called lagophthalmos. I am in the business of fixing these eyelids. It is shocking how little the upper eyelid needs to operate. The numbers you are quoting are repeated in the literature and it is possible to have insufficient skin in an eyelid. However you can see in your closed eyelid that there looseness of your eyelid skin, This eyes fail to fully close due to damage to the motor nerves that supply the muscle that closes the eyelid. The other cause of lagopthalmos is internal scaring and adhesions in the eyelid. The solution in these eyelids is mobilization of the adhesions to reduce tethering of the upper eyelid to the orbital rim. In some eyelids, raising the lower eyelid can also provide sufficient improvement to permit the eyelids to meet with blink. The challenging with he skin graft is that it does not address the internal adhesion to the orbital rim and the skin graft is always unsightly.