Columbia Eyelid Surgery doctors

Laxmeesh Mike Nayak, MD Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis
14 answers
Herluf G. Lund, Jr, MD Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
17300 N. Outer 40 Road Suite 300, Chesterfield
3 answers
William H. Huffaker, MD William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield
Christian Prada, MD Christian Prada, MD
Saint Louis Plastic Surgeon
17300 North Outer 40 Road Suite 300, Chesterfield
Matthew Concannon, MD Matthew Concannon, MD
Columbia Plastic Surgeon
3115 Falling Leaf Court, Columbia

Recent Answers

What is Wrong with my Eyes, They've Started Drooping? (photo)

Over the last few months, I've developed this odd drooping on my left eyelid, and a fold in my right. This seems to be most prominent in the evenings, and looks better when I'm well rested. I'm in my early 20's and can tell that this is quite a recent development. Not sure if it's relevant, but I have also started getting bad double and blurry vision and muscle weakness. What is wrong with my eyes? Is this ptosis? How can it be fixed? Thanks very much.

A: Droopy Eyelids and Double Vision

Dear Lawgirl_X,   The condition you describe appears not to be a cosmetic issue but a medical issue.  The early onset of your problems-in your 20's-, combined with blurred, double vision and muscle weakness are symptoms of perhaps a larger issue such as myasthenia gravis and need to be addressed by a neurologist and an ophthalmologist.  Please contact your primary care physician who can direct you to the appropriate specialist.  I wish you the best of luck.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
Should I Have Eyelid Surgury Soon After Botox Which Caused an Eyelid to Droop?

I had botox injected about 10 days ago and now my left eyelid is drooping. I was planning to have upper eyelid surgury to remove some skin. Do I have to wait to have the surgury until the eyelid drooping from the botox corrects itself?

A: Droopy Eyelid After Botox-How Long To Wait For Surgery

Dear Terri,  While I am sure you are anxious to proceed with your eyelid surgery, I would advise you to wait until your droopy eyelid problems have resolved.  This may take anywhere from 2 months to 6 months depending how fast your Botox lasts.  If you have been using Botox before, you probably already have an idea of the average "lifespan" of the effects of your Botox treatments. It is important to wait until your eyelids have returned to their baseline appearance in order that your surgeon can as precisely as possible obtain the best symmetrical and cosmetic result.  While eye drops can help decrease the droopiness being cause by the Botox, they only work on one of the muscles being affected and therefore only will give a partial improvement and certainly not back to your normal baseline.  Think of it this way, you always want to go into any surgery in the best possible condition you can be.  Waiting a few extra months is worth it.  Good Luck.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
Should I Have a Revision Upper Blepharoplasty to Fix Asymmetry from High Incision?

Hi, I had a blepharoplasty of both eyelids two years ago to help deal with lash ptosis. However, after the healing and swelling subsided (post 1 year), the crease on my right eyelid was much higher than the left exposing the lid on the right more, and causing asymmetry. Upon looking at the photos immediately after surgery, my oculoplastic surgeon told me the incision on the right eye was 2 mm higher than the left. Is there any revision that can be done to fix this and what is the success rate

A: Revision of Blepharoplasty Incision Position

Lowering a malpositioned eyelid crease after a Blepharoplasty can be very challenging esp. if there is minimal skin left in the upper lid.  If there enough skin and soft tissue left above the crease, it may be possible to use this tissue to reposition the crease inferiorly.  In my opinion, it is less difficult to lower the crease in these circumstances than to attempt to raise the crease where there is almost always a lack of skin to lift.  Key to determining if the repositioning you seek may be possible is a detailed consultation with a  plastic surgeon who is experienced in eyelid revision procedures.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.