Portland Eyelid Surgery doctors
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Scott Sattler, MD
Bellevue Plastic Surgeon
2364 Fairview Ave East, Seattle |
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4 answers |
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Michael M. Kim, MD
Portland Facial Plastic Surgeon
3303 SW Bond Avenue Center for Health & Healing, 5th Floor, Portland |
2 answers | |
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Lee Robinson, MD
Portland Facial Plastic Surgeon
4035 Mercantile Dr Ste 206, Lake Oswego |
2 answers | |
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John D. Ng, MD
Portland Oculoplastic Surgeon
3375 SW Terwilliger Blvd, Portland |
1 answer | |
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Kim-Chi Vu, MD
Portland Plastic Surgeon
9555 SW Barnes Rd # 275, Portland |
1 answer |
Recent Answers
I had frontalis suspension operation on my right eye in Feb 2011 but the eye still feel very dry and open a bit wide now (after nearly one year), it tears in sleep and awakes me, very uncomfortable and a bit painful. Very frustrated, if I have known this, I will not have the operation. Want to ask doctor : any treatment, supplement/vitamins to cure tearing eye ? Thank you
Frontalis slings are performed on patients with ptosis who have decreased or poor movement of their levator muscle (the one that normally opens the eyelid). This mainly is done for patients with congenital ptosis, ptosis due to 3rd cranial nerve paralysis or progressive muscle weakening diseases. The procedure is basically a compromise. In order to get the eyelid up, if must be attached to the frontalis muscle (the one that raises the eyebrow). Since it is attached to the frontalis muscle, it makes closure of the eye more difficult. The eye may not close all the way especially when sleeping. Spontaneous blinking during the day is also limited to a variable degree.
Options for comfort include: frequent use of lubrication (artificial tears, Natures Tears Eye Mist if drops are too hard or inconvenient to use, or something similar) during the day. Using lubricating eye ointment when sleeping helps keep the eye from drying out at night. There are moisture chambers that act like a green house to keep the eye from drying out at night which can be used with the ointment. Wearing protective sun glasses with side protectors keeps the eye more comfortable from the evaporative effects of bright sunlight and wind.
It sometimes seems counterintuitive to wet an eye that is tearing. What is happening is the eye is drying out, the corneal nerves are telling the brain the eye is drying out and to make extra tears to keep the eye moist and protected.The discomfort is due to the drying.
Surgical options include relaxing the upper eyelid to a lower position or raising the lower eyelid to decrease the amount of opening with or without lowering the upper eyelid.
I'm having a lot of trouble locating pictures of the scars that come from a lower blepharoplasty surgery - both post-op and long-term. Where can I find these? What is the location of the scars, and how noticeable are they?
The incision for lower eyelid surgery is placed either along the lower lid lashes and/or inside the lid (tran-conjunctival). Generally, the scar heals very nicely and it is hardly noticeable after the healing process. Sometimes, there may be a small incisional scar placed along the lateral upper lid region. This is due to whether or not the eye muscle is involved in the tightening/resuspension as part of your lower eyelid surgery.
I am now 4 months post op from lower blepharoplasty with a skin pinch incision that left me with ectropion / retracted lower lids. What procedure best fixes my problem -- canthopexy or canthoplasty with cheek lift? Would restylane help boost my lids up or will I need surgery? Also, seems most oculoplastic surgeons who specialize in such repairs are in CA. Any recs for Chicago doctors who routinely fix this issue? I can't risk another failed surgery so would travel to the best. Many thanks.
You've got unilateral lower lid retraction with mild scleral show - I think a canthopexy on the right side would restore lid position symmetry. Although midfacial fat grafting and dermal fillers can help support lower lid position, they are not the standard restorative procedure for this problem.
