Cleveland Eyelid Surgery doctors
 |
Richard Gentile, MD
Cleveland Facial Plastic Surgeon
6505 Market St Suite A103, Boardman |
72 answers | |
 |
Steven Goldman, MD
Cleveland Plastic Surgeon
3609 Park East Suite 206, Beachwood |
4 answers | |
 |
Rodney A. Green, MD
Cleveland Plastic Surgeon
5035 Mayfield Rd Suite 100, Lyndhurst |
1 answer | |
 |
J. Vicente P. Poblete, MD
Cleveland Plastic Surgeon
445 Avon Belden Road Cleveland Clinic Avon Lake Specialty Services Offices , Avon Lake |
1 answer | |
 |
Steven S. Carp, MD
Akron Plastic Surgeon
4031 Massillon Rd Suite A, Uniontown |
Recent Answers
4 months ago I had lower eye surgery to correct a tear trough deformity (arcus margillis release fat repositioning). Although this surgery helped with the tear trough area I still have hollowness in the lateral portion of the lower eye, where the cheek meets the lower eye. Lower eyelid pinch, laser and filler have been suggested. What is the best option?
It seems that you have what are called "malar bags". This can be difficult to correct with eyelid surgery alone.
You may need a cheek lift or facelift. I think that a filler or fat grafting would be a reasonable simple alternative that would be helpful too.
Your photograph also suggests that you have marked retraction of the skin of the upper eyelid and some drooping of the upper eyelid suggesting that the levator muscle, which lifts the eyelid, has become partially detached. This can be repaired by re-attaching the muscle to the eyelid.
I started to have a droop on my upper right eye, (seemingly within just a week!) then a year later the left started to do it and now the right seems twice as bad. I am only 27, I have no idea what could be causing this or how to fix it. Thanks!
From the picture, it does appear that you have mild ptosis (eyelid droop), left greater than right. You also have mild skin excess. You and your surgeon need to clarify what is really bothering you. Is it the slightly lower position of the left eyelid (the ptosis) -- or the skin folds on the upper lid (the skin excess)?
Correction of the skin excess can be achieved under local anesthesia in the office using a skin-only blepharoplasty; this may slightly improve the ptosis by "unloading" the eyelid (removing the weight of the excess skin). A ptosis repair is more complex; there are several methods, all of which tighten the levator mechanism (the eyelid muscle's attachment to the upper eyelid internally). If your vision is not affected by the ptosis, you may want to remove the excess skin with the blepharoplasty and observe the ptosis for now.
I hope this helps. Please feel free to email other questions or come to Beachwood for a consultation.
If my excess eyelids are taken, how will the fold on the sides of my eyes look? My Dr. said it would look ok, but I'm worried.
Each eyelid must be treated based on its findings. If the skin excess is significant at the sides, this requires a longer scar, and that scar is more visible there than over the eyelid itself. Brow lifts, laser resurfacing, and Botox or Dysport may also help. Lasering especially is often useful in this situation. I hope this helps.
