Wait. Your surgeon should always evaluate your lower eyelid stregth before the surgery

Paul L. Leong, MD answers: Canthopexy after Blepharoplasty?

Can a canthopexy be performed after a few weeks of Blepharoplasty to correct mild lower eyelid ectropion?

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Paul L. Leong, MD
6 months ago

You should definitely wait at least six months prior to considering a revision surgery. There are a range of conservative measures that should be considered by you and your surgeon during that period of time. These include taping, massage, and possibly a temporary suture to help support the lower eyelid.

The robustness of your lower eyelid support should have been a very important part of your pre-surgical evaluation. This is not to say that your surgeon did not consider this issue. All surgeons that have done a significant number of blepharoplasty surgeries have encountered patients in which the impact on lower eyelid position has been greater than they might have expected. The key thing is to make sure your surgeon is taking a detailed history and physical exam prior to surgeon.
 

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