18 year old patient with congenital deformity of right hemifacial microsomia having underdevelopment of right side of face, including lower right upper lid and orbit of eye, absent right ear, and jaw anomalies. Result after 1 year following two stage right upper asian blepharoplasty and single stage left upper asian blepharoplasty. Better balance and alignment of eyelids created although symmetry could not be fully attained due to difference in orbital shape. Patient requested deep fold look at preop evaluation. A right total ear reconstruction was completed in 4 stages not shown here. Donn Hickman MD, Long Beach, CA, 1 800 427 4714, www.cosmetic-center.com
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