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Eyelid Surgery Revision Possible with Chemosis Present?

I had eyelid surgery 5 months ago. It went bad and now I need to have it redone. My new plastic surgeon told me that I have chemosis in one of my eyes. I am supposed to have my new surgery soon to repair what my other surgeon messed up on. I want to know, can it be redone even though I have chemosis? Or will that worsen the problem?

Asked 27 months ago by eric12 in ca

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eyelids eyes revision

Allow chemosis to subside prior to revision eyelid surgery

The chemosis from the first surgery will probably get worse after the second surgery. It is a good idea to have the chemosis subsided prior to embarking on any revision eyelid surgery, unless the second surgery itself will completely alleviate the problem.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Best to wait until chemosis has resolved before eyelid surgery revision

If there is residual chemosis from previous blepharoplasty (usually the lower lids) then it is best to wait until chemosis has resolved. If the chemosis has not resolved after a long period of time, then this issue should be addressed prior to additional eyelid surgery. The cause of long-standing chemosis should be addressed. Chemosis is usually caused by lymphatic drainage obstruction. In certain situations, it is possible to improve the chemosis with judicious revision of the lower lids.... more

Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon

Chemosis unusual months after eyelid surgery

It is rather unusual for chemosis to persist for months after blepharoplasty. Chemosis is swelling of the conjunctiva, the clear layer that covers the white of your eye. Chemosis is not uncommon immediately after eyelid surgery and may last for several days. Often it is minor and hardly noticeable. If chemosis is persisting for months after surgery, then I would advocate against further eyelid surgery at this point. Instead, I would investigate the cause of your persistent chemosis. ... more

Ross A. Clevens, MD

Melbourne Facial Plastic Surgeon

Chemosis should be treated first before revision.

Ideally, you should have the chemosis treated before any revision. However, your eyelid problem may be causing the chemosis and therefore need to be treated first. I would suggest seeing a plastic surgeon well experienced in revision eyelid surgery or one who has oculoplastic surgery training. Sorry to hear about your problem and good luck.

Dean Fardo, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Eyelid Revision

Chemosis 5 months out is very unusual. You did not state what your problem is but I would guess it would have to do with your lower eyelid and likely lid retraction or ectropian. You need to be seen by an oculoplastic surgeon who deals with these particular issue. If this is not addressed appropriately, this may be a very problematic issue for a long time to come. Good luck.

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Prolonged Chemosis after Blepharoplasty

Even in the worst of circumstances, it is very unusual to have chemosis still five months after blepharoplasty. There are really only two reasons for this. First is failure to treat it. Second, and most likely, is that there is an anatomic problem causing the continued chemosis. If it is the latter, then the only way to correct it is by correcting the problem causing it. This usually requires surgery. However, before undergoing any further surgery, talk with your surgeon about exactly what... more

Robert T. Buchanan, MD

Highlands Plastic Surgeon

ASAPS ASPS

Eyelid revision with chemosis?

IF you actually have chemosis, which would be rare 5 months after your surgery, there is something wrong and needs to be diagnosed. The only reason to do a revision now would be if it were to address in part why you still have chemosis. Otherwise, you should wait until there is no longer any swelling. It sounds like you have a complax problem so make SURE your new doctor is extremely experienced in complex eyeild situations or you might go from bad to worse after the next surgery.... more

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Chemosis after eyelid surgery

Chemosis after eyelid surgery is certainly a distressing problem for both the patient and the surgeon. I would fist suggest consulting with an ophthalmologist so that you are maximally treated in order to help the chemosis resolve. It is possible that the poor surgical result you are referring to is responsible for your current problem and until the structure and shape of your eye is corrected the chemosis may not resolve. Once again, I would discuss this with your surgeon and... more

Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon

Chemosis and surgery

The definitive answer depends on the problem for which you require revision. In some cases, ectropion or eyelid drooping may be contributing to the problem and a permanent or temporary correction of this problem could be warranted before complete resolution of chemosis. You should sek consultation with a plastic surgeon or opthalmic plastic surgeon with specific experience with this problem.

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Stanley G. Poulos, MD

Bay Area Plastic Surgeon

ASAPS ASPS

Wait for Chemosis to Go Away Before Revision

The risk of prolonged chemosis after revision surgery is real. You should wait till all of the chemosis is resolved. Also, make sure you are seeing an ophthalmologist to ensure there is no other eye condition that could be making your chemosis stay longer. Doing surgery one month after complete resolution of chemosis would be prudent. Regards

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Eyelid surgery revision and chemosis

Let's define this for our OTHER readers. CHEMOSIS is an abnormal swelling of the lining of the eyeball and the eyelid thought to be caused by blockage of orbital or eyelid lymphatics flow. It may be seen after local trauma, eyelid surgery, or infection, acute conjunctivitis even eye socket tumors. ( Five months is a long time to have Chemosis which is usually treated with eye steroid drops and occasionally by keeping the eye closed with a patch to allow it to resolve. As regards " I... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Revision yey surgery in the face of ongoing chemosis

It depends on the cause of the chemosis. If it is secondary to exposure conjunctivitis then a lateral canthopexy or partial tarsorrhaphy may provide some relief and possibly correct the condition. If it is due to impaired lymphatic circulation, any surgery could possibly aggravate the condition. In any situation keep the area moist and some may employ the use of medicated eye drops.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Revision eyelid surgery with chemosis present

Chemosis 5 months after blepharoplasty or eyelid surgery is unusual. If the chemosis is caused by the problem you are planning to fix with the revision surgery, than waiting will probably not resolve the issue. Eyelids are complicated and revision surgery more complicated still. Make sure you are seeing a surgeon with a lot of expertise in this area. The more experience your surgeon has with this type of problem, the better the chances of having a good outcome from the revision surgery.... more

Elizabeth Lee, MD

Bay Area Plastic Surgeon

ASAPS ASPS

Eyelid surgery (blepharoplasty) and chemosis? Maybe

Chemosis is the swelling of conjunctiva which is the clear tissue the covers the white of your eye and the inside of the eyelids. It is important to know why you still have chemosis. I would consider seeing an oculoplastic surgeon to diagnosis the cause. It is possible that the chemosis is related to your blepharoplasty, however there are other eye problems that could be present. One of the common causes of chronic chemosis, is lower eyelid retraction. Lower lid retraction means that... more