Inclusion Criteria:  paucibacillary (PB) or multibacillary (MB) type leprosy patient with unilateral/bilateral lagophthalmos who had not undergone eyelid reconstruction patient aged 18 years old or older who could be performed surgery with local anesthesia  Exclusion Criteria:  patient with acute leprosy reaction (<6 months) and in steroid medication patient with eyelid laxity >8 mm