Daytona Beach Eyelid Surgery doctors

Your concern is very prevalent these days.  recently I have seen an increase in the number of patients coming to my office for secondary correction with identical complaints.  Although it is impossible to offer a diagnosis without pictures and preferably an in person consultation, I can nearly guarantee that you have a disrupted lateral canthus.  the side of the eyelids attach to eachother (upper and lower lids) and to the inside of the bony orbit ( the eye socket).  It is commonly necessary to disrupted this aged structure in rejuvenating procedures but it is essential that it is secured back to its bony insertion.  In todays time where all types of practitioners from family medicine, dematology, ophthomology, ear nose throat etc are trying to present themselves as plastic surgeons, more and more of these mistakes are occuring. 

The good news is there is a relatively simple solution. .  . put the lateral canthus back where it belongs.   Technically what you need is a complete cantholytic canthoplasty( total separation and dissection of the lateral canthus from the cicatrix and novel placement in an anatomically and aesthetically sound position.  At your tertiary revisional stage I would trust this work only to a plastic surgeon with extensive craniofacial expertise and a good reputation.  This maneuver is very simple for someone who routinely creates normal anatomic structure on the malformed and deformed, but is quite a challenge for a practitioner with minimal training.

I hope this helps!

All the best,

Rian A. Maercks M.D.

With your concerns I would definitely recommend some sort of lateral brow suspension to avoid worsening brow ptosis.  My prefered technique is the lateral hood lift which also cleans up the bulky skin to the side of your eye.  Wiht this technique you will need a much more conservative upper blepharoplasty.  I hope this helps!

All the best!

Rian A. Maercks M.D.

While you are not too young, you must be very careful.  Many surgeons will quickly offer you an upper lid blepharoplasty but this procedure alone would be misguided in your case.  You have what is called compensated brow ptosis which means your brows are already in a very low position and your brain is constantly activating the frontalis muscle to keep your upper eyelid skin out of your eyes.  If you get an upper blepharoplasty alone your frontalis tone will likely drop giving you a very unaesthetic brow position.  For your upper eyelids you should have a lateral hood lift to support your lateral brow and actually keep it elevated without frontalis tone,  A lateral hood lift will also clean up the fullness next to the side of your eye.  For your lower lid I would recommend a subcilliary blepharoplasty with fat conservation and transposition, a lateral canthopexy and a lateral retinacular suspension of the orbicularis muscle to give you a beautiful and lasting result. Fat grafting may also be combined to improve your cheek contour.  I hope this helps!

  All the best,

Rian A. Maercks M.D.