- Lower eyelid tightening (Lateral tarsal strip) (Lateral tarsal strip)

The lower eyelid is shortened and re-attached a little higher to the outer bony rim, allowing the lower eyelid to sit in a better position, thus improving eyelid closure and comfort whilst reducing watering.

- Stitching of the eyelids (Tarsorrhaphy)

The eyelids are stitched together either at the outer corner, or in the centre of the eyelid, or at the inner corner. This reduces the length of the eyelid that is open, decreases evaporation and improves coverage of the eye. It is not the best aesthetic rehabilitative procedure and it can cause a blinkered effect to the vision towards the side where the surgery has taken place. It is therefore reserved for special cases and emergencies.

- Medial canthoplasty

This involves lifting and correcting the inner part of the lower eyelid. Stitches at the inner corner of the eye pull up the sagging lower eyelid.

- Gold weight or platinum chain to upper eyelid

Placing a gold weight or thinner platinum chain in the upper eyelid can give a more animated expression and better closure of the upper eyelid, especially while blinking.

- Eyebrow surgery

This is known as brow ptosis correction. There are several different procedures to improve the position of a drooping eyebrow. Some of them involve incisions above the eyebrow (direct brow lift), or via the forehead, or small incisions in the scalp (endoscopic brow lift).

- Midface lift

The weight of the paralyzed mid face or cheek can cause the lid to sag over time, and may require a mid face lifting to support the lower lid.