Thank you so much for your history....just knowing I'm not alone, from reading all these posts, is comforting. Had my first AN surgery in 1991; regrowth, 2d surgery 1998, with resulting facial nerve damage. Had gold weight in left lid then, but it was removed soon after (don't know why). Steadily worsening dry eye since; have tried punctal plugs (they fall out, and now I seem to have scarring which prevents re-insertion). I've used lots of drops, gels and ointments....and I tape my eye shut every night, which helps. Now, it's out of control, so it's back to the surgeon to see what's available. I'll post again with more on this journey.