It gets alot harder the second time around.

Manish H. Shah, M.D. answers: Revisional surgery for brow lift and eyelids worth it?

I'd like to see pictures of "good" revisional--or corrective--surgery for a botched eyelid surgery and brow lift. It's only been about a year since I had my procedure, and not only don't I see that much improvement, but I swear my face is uneven. Is revisional surgery worth it--and what can I ask my doctor or let him know ahead of time to ensure I don't wind up with the same results? (I'm not using my original doctor).


Manish H. Shah, MD
12 months ago

I am sorry to hear of your disappointment.  I will tell you that the key to optimizing surgery gone wrong lies in the appropriate preop evaluation by your next surgeon.  As I understand it, you had a browlift and a blepharoplasty.  It would be helpful to know if you had your upper or lower eyelids worked on.  In terms of fixing your browlift, if you had only your upper lids done, then your surgeon must be very careful to re-pull only moderately (or not at all!) or you may not be able to close your upper lids from a skin shortage creation.  If you had only your lower lids done, then a revision browlift is safe to perform if the brows still sit to low.  If the brows are actually in good position, then you may just have excess upper lid skin that was never addressed giving you that crepey look to the upper lid. 

In terms of revision upperlid surgery, it is usually straightforward.  It is revision lowerlid surgery that is very difficult because of the risk of lid function problems.  In my practice, I will usually send the difficult lower lid to an oculoplastic surgeon (an ophthalmologist who specializes in eyelid plastic surgery) to make sure a patient gets the best chance at a good outcome.

Revision surgery will carry greater risks because the surgeon has to go back through scarred tissues.  Numbness and nerve injury are more possible.  You may need other facial procedures to support a lowerlid redo and this should be discussed with your surgeon.

Good luck!

Dr. Shah

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