Will Lifting Bottom Eyelid Improve Chemosis?

asked 2 years ago by eric12 in ca
Latest answer by William Portuese, MD
Question viewed 631 times
Tags: eyelids, eyes, fat, hollow, sunken

I have ectropion in my eye and doc says that's what's causing the chemosis. Will lifting the bottom eyelid, so that the eye can close properly make my chemosis better?

Also, I need to have fat put back in to the bottom of my lid because my other ps left my eye hollow and sunken in.

6 answers to Will Lifting Bottom Eyelid Improve Chemosis?

Lifting lower eyelid can improve chemosis

Yes, lifting the bottom eyelid upward and outward will tighten up the lower lid and make chemosis better. Fat grafting can be done at the same time. A canthopexy or canthoplasty can also be done simultaneously to improve chemosis.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Lifting the lid will work in some instances but not all

The cause of the chemosis after eyelid surgery is not well understood, but does represent a noticeable problem from many patients. If the cause of the chemosis is excessive eye exposure, then lifting the lower eyelid should improve chemosis. More commonly it has to do with interruption of the lymphatic drainage from the outer cornea of the eye and secondary fluid buildup. Raising the lid would not help this In brief, tincture of time is virtually always curative and is to best bet.... more

J. Timothy Heffernan, MD
Seattle Oculoplastic Surgeon

drtimheffernan.com

Chemosis and ectropion

Any irritation of the lower eyelid can cause a chemosis. This certainly can get worse with ectropion. By correcting the ectropion, the chemosis should eventually improve, but it may take some time.

Steven Wallach, MD
Manhattan Plastic Surgeon

Consider a second opinion

Hi Eric Again it is possible that improving a pulled down eyelid after a cosmetic eyelid surgery associated with chemosis will make a difference with the ectropion. However, there is no substitute for a personal consultation. If you are emailing us regarding your concerns, this suggests that you are not entirely comfortable with the surgeon you consultated who is advocating a lot of surgery very early after the original eyelid surgery. I think it is highly likely that you will eventauall... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lifting bottom eyelid improve chemosis

"I had lower and upper eyelid surgery done 3 1/2 months ago. My doctor removed too much fat and I have sunken hollow eyes. I also have ectropion in one eye along with chemosis..." - I am truly sorry to hear of your predicament but it sounds to me like you are rushing head long into another complication. For the absolute best revision results all traces of inflammation must be gone and the eyelid tissue must be supple. Operating before 5-6 months have passed invites miscalculation and f more

Peter A. Aldea, MD
Memphis Plastic Surgeon

It is a good idea to fix an ectropion

If you have an ectropion (eyelid turned outward) or lower eyelid retraction (edge of eyelid too low) it is worthwhile having that problem repaired so that your eyelid returns to its normal position. Most likely the chemosis will resolve if the lower eyelid is in the correct position and functioning normally. Hope this helps.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

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