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53 year old male, with severe lower eyelid retraction after transcutaneous lower blepharoplasty and multiple canthoplasties (done by another surgeon) and dry eyes, underwent revision lower eyelid retraction surgery using hidden inside eyelid approach with SOOF lift, Alloderm spacer graft, tear trough (orbital rim) implant, and revision canthoplasty. Before and 4 months after corrective eyelid surgery photos are shown. Alternative reconstructive treatment could be lower eyelid skin graft.