Los Angeles Oculoplastic Surgeons

Droopy Eyelid After Strabismus Surgery, Do I Need Surgery?

I had strabismus surgery on only my left eye 4 weeks ago. The alignment is fine now, but what I didn't expect is that now my eyelid droops. My eyelid feels like there is a weight on it that prevents me from lifting the lid all the way up. I did not have this problem before. Is this likely permanent? Would a blepharoplasty fix this? I had a previous strabismus surgery 25 years ago, and DID NOT have droopy eyelids afterwards.

Droopy eyelids after strabismus surgery can happen.  I personally like waiting 6 months before performing any surgical correction because ptosis (droopy eyelid) sometimes resolve when swelling goes away.  A blepharoplasty will probably not fix this, most likely you will need a ptosis repair.  See an Oculoplastic surgeon so he can evaluate the droopy eyelid.

Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

Lower Blepharoplasty Complication After 5 Months, Is a Revision Recommended?

I had a lower bleph 5 months ago. I had an incision under the eye and fat removed. One eye is perfect the other is left larger and I have a small scleral show about 1mm. My lower eyelid looks lower than the other). I know this is not much but to me it is making me very unhappy. I have been to see an oculoplastic surgeon for a second opinion and he said it is very slight compared to others but he could perform a canthpexy or canthoplasty to correct this, but could this make it worse? Very worried

If you are unhappy, then you should seek other opinions for what can be done.  Canthoplasty or canthopexy alone is often inadequate and requires vertical eyelid elavation as well, but this would depend on your examination.  Sometimes fillers can raise the lid, but this is temporary.  There may be other suggestions.  See an Oculoplastic surgeon with experience in revisions.

Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

How Can I Expect To Have Funny Speech After Chin Lipo? 10 Days Out Now.

Im 10 days out from smart lipo on my chin and neck. I have a little tightness, but my issue is I have a hard time enunciating my words and when smiling/laughing the nerves around my mouth make it impossible to speak without looking very odd. Spitting is difficult, but I have full sensation and a full smile. My only concern is speaking, it is similar to after I've been to the dentist with novacaine. How long should I expect this to last and is there anything I can do to speed up the process?

JD

It is not normal to have a speech issue 10 days out from a chin liposuction.  I strongly recommend that you see your surgeon to make them aware of your concerns.  It is possible to have a motor nerve injury after a chin liposuction.  These may or may not fully recover.  There are some very specific signs that there is a nerve injury.  At only 10 days out, it will be difficult to know if such an injury is temporary or permanent.   However, without that examination, it is possible that what you are describing is something other than a motor nerve injury.  Good luck and consider posting photographs.

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon