Revision Upper Lid Blepharoplasty with Ptosis Repair with Dr. Levesque in Austin

In this case, I treated a patient who was unhappy with the results of a previous blepharoplasty performed elsewhere. She felt her eyes were "disappearing" in photos and noticed increasing asymmetry. Upon examination, I identified an elevated lid crease and ptosis, where the upper lid was obscuring her iris and creating a tired, heavy appearance. While her levator muscle was still functioning, it had suffered "dehiscence"—a stretching or detachment that required a specialized surgical approach. To restore her natural eye shape, I performed a ptosis repair via tarsolevator advancement. This procedure was completed in our Austin office using local anesthesia and oral sedation. By performing this under local anesthesia, I am able to assess the lid height and symmetry in real-time while the patient is awake, ensuring the most precise result. Using the original blepharoplasty incision, I conservatively addressed the skin and muscle while focusing on the underlying muscle repair. To complement the surgical results, we also performed full-face CO2 laser resurfacing to improve skin texture and tone. The transformation is remarkable: her eyes now appear bright, symmetrical, and refreshed. This case illustrates that a "tired" look often requires more than just skin removal; it requires a functional repair of the eyelid anatomy