MENUBEFORE & AFTERPATIENT REVIEWSMENUBEFORE & AFTERPATIENT REVIEWS
Esthetic & Functional Correction of Severe Congenital Ptosis with Frontalis Muscle Flap and Whitnall’s Ligament SlingThis 4-year-old boy presented with severe congenital ptosis and very poor levator muscle function, resulting in visual axis obstruction and amblyopia (lazy eye).
Functional and aesthetic correction was achieved through Dr. Altuğ Çetinkaya’s double-flap modification of the frontalis muscle flap combined with a Whitnall’s ligament sling. This technique provides long-lasting eyelid elevation, stable contour, and natural symmetry by integrating dynamic forehead support with anatomical reinforcement at Whitnall’s level.
Postoperatively, the patient demonstrated restored visual exposure, improved symmetry, and prevention of further amblyopic progression, highlighting the importance of early surgical intervention in such cases.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Congenital Ptosis Surgery - Supramaximal Levator ResectionThis young patient was treated for congenital ptosis (droopy eyelid) with supramaximal levator resection - a highly advanced surgery that requires dissecting the eyelid’s lifting muscle deep into the orbit. The goals of surgery:
A life-changing procedure that combines both functional and aesthetic benefits. Disclaimer: Educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Ptosis Surgery in ChildrenSupramaximal Levator Resection (SLR)
How it works:
Indications:
Benefits:
Key point: Because the procedure is technically demanding and involves very deep dissection, it requires high surgical expertise and careful postoperative monitoring.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Eyelid Drooping (Ptosis) Surgery in ChildrenSupramaximal Levator Resection (SLR)
Supramaximal levator resection is an advanced surgical technique used to correct severe congenital ptosis (droopy eyelid).
In certain conditions as in this case, surgery may enhance upper gaze movement through stronger muscle action.
Key Benefits
Important Notes
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Supramaximal Levator Resection for Congenital PtosisThis patient had amblyopia (lazy eye) caused by a droopy eyelid blocking the visual axis. With supramaximal levator resection, we achieved:
The surgery not only improved appearance but also helped restore perfect functional vision. Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Frontalis Muscle Flap for Severe Congenital PtosisFrontalis Muscle Flap + Whitnall’s Ligament Sling in Severe Ptosis
In patients with severe congenital ptosis and almost no levator muscle function, vision may be blocked, leading to severe amblyopia (lazy eye).
By combining a frontalis muscle flap with a Whitnall’s ligament sling, the eyelids can be elevated using the forehead muscle and ligament support, restoring:
This surgery can be life-changing, both functionally and cosmetically. Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Frontalis Muscle Flap + Whitnall’s Ligament Sling for Severe Congenital PtosisThis patient had severe bilateral congenital ptosis with almost no levator muscle function - the muscle that normally lifts the eyelid.
To restore eyelid opening and vision, we performed a combined procedure:
The result: improved eyelid height, better symmetry, and a clear visual field for normal vision development. Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
3 Weeks After Supramaximal Levator ResectionThis young patient was treated for congenital ptosis (droopy eyelid) with supramaximal levator resection. At just 3 weeks post-surgery:
Mild swelling is normal at this stage, and results will continue to refine over the coming months. Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Comprehensive Correction of Blepharophimosis SyndromeThis patient with blepharophimosis syndrome presented with severe drooping of the upper eyelids (ptosis),epicanthal folds, and increased inner eye distance (telecanthus).
Surgical correction was performed using Dr. Altuğ Çetinkaya’s same session technique including frontalis muscle flap technique for long-lasting elevation of the eyelids and a minimally-invasive single-incision approach for epicanthus and telecanthus correction.
The result shows a significant improvement in eyelid height, contour, and intercanthal harmony—achieved through precise functional reconstruction and natural aesthetic balance.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Early Postoperative Result of Maximal Levator Resection in a 3-Year-Old with Congenital PtosisEarly Postoperative Result after Maximal Levator Resection for Congenital Ptosis (3 Year Old Girl)
This young patient presented with significant congenital ptosis with moderate levator function causing visual axis obstruction and compensatory brow elevation and chin-up posture. Surgical correction was achieved through a maximal levator resection, restoring normal eyelid height and function.
The photograph shows the appearance one week after surgery, demonstrating early improvement in eyelid position and visual exposure. Mild postoperative swelling is expected and gradually subsides over time, revealing a natural and balanced eyelid contour.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Double Flap Frontalis Muscle Flap with Whitnall’s Ligament Sling (6 Months Postoperative)This 2-year-old boy presented with severe congenital ptosis and very poor levator muscle function, leading to visual obstruction. Surgical correction was achieved using Dr. Altuğ Çetinkaya’s double-flap modification of the frontalis muscle flap combined with a Whitnall’s ligament sling, providing stable eyelid elevation.
At 6 months postoperatively, the result shows durable correction, improved lid contour and symmetry, and unrestricted visual axis—achieved through a balanced combination of functional reconstruction and natural appearance.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Supramaximal Levator Resection for Severe Congenital Ptosis with AmblyopiaThis young patient presented with severe congenital ptosis and amblyopia (lazy eye) caused by visual axis obstruction. Surgical correction was performed using a supramaximal levator resection technique, allowing maximal elevation and functional restoration of the upper eyelid despite poor native levator strength.
Postoperatively, the eyelid position and symmetry were successfully restored, with improved visual exposure and reduced risk of amblyopic progression, while maintaining a natural, balanced contour appropriate for the child’s facial anatomy.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Simultaneous Ptosis Correction with Upper & Lower BlepharoplastySimultaneous Ptosis Correction with Upper and Lower Eyelid Blepharoplasty
This patient underwent functional upper eyelid ptosis correction combined with cosmetic upper and lower blepharoplasty in a single session. The procedure aimed to restore optimal eyelid height and contour while rejuvenating the periocular area by personalized sculpting of periocular tissues.
This combined approach achieves both functional improvement and aesthetic harmony—enhancing the visual field, reducing eyelid heaviness, and creating a refreshed, natural look with a single recovery period.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper Eyelid Surgery with Customized ApproachThis patient underwent upper eyelid blepharoplasty. Although a brow lift was recommended, the patient preferred not to have it. To achieve a more natural look despite the sagging outer brow, we carefully reshaped the brow intraoperatively without lifting it.
To enhance the final outcome, Botox was added for a smoother, more refreshed appearance.
Disclaimer: This post is for educational purposes only. Results may vary between individuals. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper Eyelid Blepharoplasty - Restoring Natural ExpressionThis young gentleman had a sweet personality, yet his eyelids gave him a fierce appearance he didn’t feel matched his true character. With upper eyelid blepharoplasty, we achieved:
Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Correction of Sunken Upper Eyelid HollowThis patient’s hollow upper eyelid was successfully treated with a dermis–fat graft, restoring:
What is a Dermis–Fat Graft?
A dermis–fat graft is a surgical technique in which a small piece of the patient’s own skin (dermis) and underlying fat is taken, usually from an area like the lower abdomen or buttock, and transplanted to another site — in this case, the upper eyelid.
Why is it used in the eyelid?
Advantages:
Recovery: Mild swelling and bruising are expected, but most patients return to daily life within a week or two. Final results improve as the graft integrates with surrounding tissue.
Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper Eyelid Blepharoplasty with Customized Subcutaneous Tissue SculptingThis patient underwent advanced upper eyelid blepharoplasty with extensive subcutaneous tissue sculpting to achieve a smoother, lighter, and more defined eyelid contour. Beyond simple skin excision, meticulous removal and reshaping of excess soft tissue were performed to refine the lid crease, reduce heaviness, and restore youthful definition while maintaining a natural, non-operated appearance.
The result demonstrates a balanced aesthetic improvement with enhanced lid contour, symmetry, and upper facial harmony.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Comprehensive Eyelid & Midface RejuvenationA combination of surgical and non-surgical techniques was performed to achieve a natural and refreshed appearance:
The outcome is a brighter, smoother, and more rejuvenated look through the synergy of surgery and advanced aesthetic treatments. Disclaimer: For educational purposes only. Individual results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
3 Weeks After Upper & Lower Eyelid Blepharoplasty with Midface LiftAt this early stage, it’s normal to see mild swelling and some visible scar. Healing takes time - yet the patient already shows a fresher, more rejuvenated appearance.
With continued recovery, the results will become even more natural and refined.
Disclaimer: For educational purposes only. Results may vary between individuals. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper & Lower Eyelid Blepharoplasty - 6 Weeks ResultThis patient achieved a natural, refreshed look with:
At 6 weeks, the result is already smooth, youthful, and scar-free on the outside
Disclaimer: Educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper and Lower Eyelid Blepharoplasty including Midface Lift & Almond Eye SurgeryThis patient underwent upper and lower eyelid blepharoplasty in combination with almond eye surgery to rejuvenate the periocular region and enhance eye shape harmony. Excess fat were precisely sculpted and redistributed with mininal skin excision, while lateral canthal repositioning created a subtle almond-shaped lift with improved lid–cheek transition.
The result demonstrates a smoother, brighter, and naturally elongated eye contour, maintaining balance between rejuvenation and expression.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Comprehensive Periocular & Facial RejuvenationComprehensive Periocular & Facial Rejuvenation - Upper and Lower Blepharoplasty followed by Non-surgical Treatments
This male patient underwent four-eyelid surgery performed by Prof. Dr. Altuğ Çetinkaya. To further address fine periocular wrinkles and age-related skin changes, a comprehensive, long-term rejuvenation program was applied.
Treatment included plasma energy (Plexr) therapy to the periocular area, regular botulinum toxin injections, dermal fillers to the zygomatic and cheek regions, as well as microneedling radiofrequency and skin booster treatments.
This multimodal approach targeted both skin quality and underlying soft-tissue support, improving facial harmony while preserving a natural, masculine appearance.
Despite the natural progression of aging, the results demonstrate sustained improvement in skin texture, contour, and overall facial balance over the years.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Revision Eyelid Surgery with Simultaneous Functional and Structural RestorationThis patient had undergone upper and lower eyelid blepharoplasty 10 years earlier. Three years ago, revision surgery was performed elsewhere due to recurrent eyelid deformity. However, the lower eyelids developed recurrent sagging again within a short period of time.
On examination, there was lower eyelid laxity and descent, along with brow drooping and upper eyelid ptosis, all contributing to both functional and aesthetic concerns.
A comprehensive revision procedure was performed in a single session, including brow lift, ptosis repair, and revision lower eyelid blepharoplasty combined with canthoplasty and SOOF (sub-orbicularis oculi fat) lift to restore proper eyelid support and midface structure.
This integrated approach allowed restoration of eyelid stability, improved eyelid position, and a more natural, balanced appearance while addressing both functional and aesthetic components.
Revision eyelid surgery requires careful analysis of prior surgical changes, precise anatomical reconstruction, and individualized planning to achieve stable and natural results.
No two patients are alike. Outcomes always depend on the condition of the tissues, prior surgical damage, and individual healing capacity. The goal is always the same: restore protection, restore function, and restore natural harmony.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Complex Revision Surgery After Multiple Failed Eyelid ProceduresThis 68-year-old patient had undergone upper & lower eyelid surgeries and a forehead lift performed elsewhere. Due to inability to close his eyes, he required revision surgery only 1.5 months after the initial procedure. Despite these attempts, he presented with severe ocular surface discomfort, visual disturbance, redness, and functional impairment.
Examination revealed a 5 mm gap in eyelid closure on both sides (severe lagophthalmos),dense corneal thinning and scarring in the lower cornea, persistent lower eyelid fat bulging, scleral show, and clear signs of nerve damage and muscular weakness in the eyelid and cheek regions.
Reconstructive surgery involved skin grafting from behind the ear for optimal tissue match, advanced midface lifting to restore structural support, and revision transpositional lower blepharoplasty to correct contour abnormalities. During healing, wound-modulating treatments including PRP and regenerative mesotherapy were used to improve tissue quality and scar remodeling, including the forehead scars.
Following recovery, the patient achieved complete eyelid closure, resolution of ocular surface symptoms, restoration of natural eyelid position, and excellent integration of the skin graft with natural appearance.
Each revision case is unique, and no two patients are the same. Outcomes depend not only on surgical technique but also on the condition of the tissues and their healing capacity. In patients with prior surgeries, scarring, and nerve damage, tissue healing may be limited, and individual results may vary.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Revision Surgery After Multiple Failed Eyelid ProceduresThis 66-year-old patient had previously undergone upper and lower eyelid surgery combined with a facelift elsewhere. She developed severe complications and underwent four additional revision attempts without improvement.
Her examination showed severe inability to close the eyes, significant lower scleral show, deficiency of lower eyelid skin and muscle support, inadequate upper eyelid skin reserve, and severely distorted eyelid corners. These problems were causing serious ocular surface damage and required advanced reconstructive surgery.
In revision cases like this, prior surgery may also cause nerve damage. When nerve function is compromised, it is not always possible to achieve 100% restoration. The primary goal is to protect the eye, improve eyelid closure, and restore the most natural function and appearance possible.
Because traditional skin graft donor sites were already affected by previous procedures, skin grafts were taken from the supraclavicular (clavicular) area. While skin from this region is slightly thicker than the ideal eyelid skin, it provides reliable tissue quality and heals well. With proper surgical technique and healing, it integrates successfully and achieves a natural and acceptable appearance.
The patient achieved significantly improved eyelid closure, resolution of ocular surface problems, and a substantial functional and aesthetic improvement.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Revision Surgery for Lower Eyelid RetractionThe patient presented with significant lower eyelid retraction, more pronounced on the right side, 8 months after upper and lower eyelid surgeries performed elsewhere.
She experienced severe ocular surface problems, including dry eye symptoms and incomplete eyelid closure of the right eye, leading to functional discomfort.
Revision surgery was performed using Prof. Dr. Altuğ Çetinkaya’s personalized surgical approach, which included meticulous scar release, midface lift, and modified canthoplasty to restore eyelid position, improve ocular surface protection, and achieve facial symmetry.
The postoperative photograph was taken 3 weeks after correction surgery.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Correction of Lower Eyelid Fat Graft IrregularitiesThis young female patient presented with sausage-like bulging of the lower eyelids one year after fat grafting to the lower eyelids performed elsewhere. These irregularities resulted in an unnatural contour and aesthetic dissatisfaction.
During revision surgery, the problematic fat grafts were carefully removed without damaging the surrounding tissues. The native orbital fat was then gently transposed to the cheek, and a midface lift was performed to restore smooth eyelid–cheek continuity and achieve a more natural, harmonious appearance.
The postoperative result demonstrates improved contour, symmetry, and midface support.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Advanced Revision Surgery After Multiple Failed Lower Eyelid ProceduresThis patient had previously undergone lower eyelid blepharoplasty, followed by four additional revision attempts by the same surgeon due to persistent deformity. In the final attempt, filler injections were used in an effort to elevate the lower eyelids.
However, the patient developed severe functional and structural complications, including inability to fully close the eyes, significant lower eyelid sagging and outward turning (ectropion),persistent fat bulging, and marked scar irregularities with discoloration along the eyelid margins.
Treatment required a staged and carefully planned approach. First, the previously injected fillers were dissolved. This was followed by a series of scar-modulating injections to soften the dense fibrotic tissue and improve tissue mobility. Once the tissues became more suitable for reconstruction, definitive surgical correction was performed.
Revision surgery included canthoplasty to restore eyelid stability, SOOF (sub-orbicularis oculi fat) lift to reestablish midface support, and careful reshaping and redistribution of the remaining orbital fat to restore natural contour. Using a specialized reconstructive technique, correction was achieved without the need for skin grafting. During the postoperative healing phase, regenerative treatments including mesotherapy were performed at regular intervals to support tissue recovery and optimize scar quality.
This comprehensive approach restored improved eyelid position, better eyelid closure, and a more natural and stable functional and aesthetic outcome.
Revision eyelid surgery in such complex cases requires advanced anatomical expertise, meticulous technique, and careful management of tissue healing.
Despite the best surgical planning and appropriate interventions, tissues that have undergone multiple prior surgeries may have limited healing capacity due to scarring, vascular compromise, and structural damage. Therefore, while significant functional and aesthetic improvement can be achieved, complete restoration may not always be possible.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Botched Lower Eyelid Surgery - CorrectedThis patient had a previous lower eyelid blepharoplasty elsewhere which caused:
Correction was achieved step by step with:
The result: Improved eyelid function and a more natural appearance. Disclaimer: Educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Eyelid Reconstruction After Burn TraumaThis patient developed lower eyelid pulling and turning-out (ectropion) after a fire injury. We corrected it with:
To further improve skin quality and healing, we also applied skin boosters, mesotherapy, and scar treatments before and after surgery.
The result: better eyelid position, comfort, and appearance. Disclaimer: This post is for educational purposes only. Results may vary between individuals. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Non-Surgical Upper Sulcus Hollow CorrectionThis patient had a hollow upper eyelid (upper sulcus defect). With hyaluronic acid (HA) fillers, we achieved:
The procedure is non-surgical, takes only 15 minutes, and the patient can return to daily life immediately. Disclaimer: Educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Upper Eyelid Asymmetry Correction with Sulcus FillerThis patient presented with asymmetry of the upper eyelids, which can create a tired or uneven appearance. Instead of surgery, we opted for a non-surgical approach using hyaluronic acid (HA) filler carefully placed in the upper sulcus.
With this minimally invasive treatment:
This quick and safe solution provides both functional and aesthetic improvement, helping patients feel more confident with their look.
Disclaimer: For educational purposes only. Results may vary between individuals. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Comprehensive Eye & Midface Rejuvenation With Left Orbital DecompressionThis patient presented with asymmetric bulging of the left eye (non-thyroid related). A tailored surgical plan was performed including:
The result: a more natural, symmetric, and refreshed appearance. Disclaimer: For educational purposes only. Results may vary. Not medical advice.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Balanced Orbital Decompression (Lateral and Inferomedial Walls)This patient with thyroid eye disease presented with proptosis (eye bulging),exposure symptoms, and reduced visual quality due to orbital pressure. A balanced orbital decompression was performed by removing both the lateral and inferomedial orbital walls, allowing the eye to move back into a more natural position while preserving function and symmetry.
Postoperatively, the patient experienced marked improvement in vision, eye comfort, and facial harmony, along with a significant boost in self-esteem and confidence.
▶ Results may vary from person to person for any surgical or interventional procedure. It is recommended that you consult your physician for detailed information before the procedure.
Altuğ Çetinkaya, MD, FEBOOphthalmologist Turkey
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