Uneven eyes after blepharoplasty (eyelift)

Otto Joseph Placik, MD answers: One eye barely changed after Blepharoplasty

I had Blepharoplasty done 5 weeks ago, and I immediately noticed post-surgery that the incisions were not the same. However, I didn't worry. Now, one eye looks wonderful and awake, but the other still has overlapping skin and looks tired. What could have happened? Is this result common with the procedure? I'm not sure if I should call my doctor prior to our next appointment (at the 10th week), or just wait and let it heal.


Otto Joseph Placik, MD
10 months ago

There are many factors which make operating on the eye difficult.

  • One is the interaction with the surrounding areas. For the lower eyelid we look at the cheek. For the upper eyelid we look at the forehead an brow
  • The activity of the muscle surrounding the eye are complex and can vary
  • The medications used during surgery can stimulate the eye or relax it causing uneveness during surgery

It sounds as if you may have a degree of blepharoptosis  (droopy or sleepy) eyelind. If you do this can cause the eyelid creases to be uneven. This is occasionally missed prior to surgery  or can be concealed by excess upper eyelid skin. Correcting this condition can result in a more symmetrical eyelid crease and incision.

You may want to discuss this with your surgeon or seek a second opinion. I would first ask about your concerns. However, it is most likely that any revisional surgery would be delayed so I am not sure if there would be any benefits to going in earlier than your scheduled visit. 

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