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We report a 29-year-old man with blepharochalasis and multiple chemical sensitivity (MCS). Although standard blepharoplasty with aponeurotic fixation was performed, palpebral ptosis recurred after 3 months. Eyelid function and appearance improved after additional operations. A stepwise surgical approach is appropriate in patients with blepharochalasis and MCS. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor Francis Group.In this paper, we present a data workflow developed to operate the adJUstiNg Gain