Fig. 4.

34-year-old female, with Graves disease and exophthalmos and lower eyelid retraction. She underwent bilateral balanced lateral and medial wall decompression (lateral wall through upper eyelid crease and medial wall via caruncle) with intraconal fat removal and transconjunctival lower eyelid retractors lysis, tear trough implant placement, midface/suborbicularis oculi fat (SOOF) lift, closed canthoplasty, and temporary tarsorrhaphy. A–C) Preoperative; D–F) 6 months postoperative photographs (Patient #3 in Table 1).