Revision upper lid surgery

Hisham Seify, MD, PhD answers: Stretch eyelid skin possible after an aggressive surgery?

Is it possible to stretch upper eyelid skin or have a skin graft done to eyes that have been operated on aggressively? There was too much skin and fat removed after my Eyelid surgery. I look so odd. I used to have beautiful eyes and a slight hooded upper lid that was very attractive. Now, I barely have a crease with eyelids that feel tight. It does not look right. I already have Juvederm in the upper eyelids, hoping that it will stretch the skin. What else can be done? I'll be most grateful for an answer.


Hisham Seify, MD, PhD
6 months ago
By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

Removal of excess fat in the upper lid leads to a condition called "A frame deformity"  this creates a very skeletonized look. the best treatment is reconstruction with fat grafting.

Removal of skin from the upper lid could be a difficult problem. Skin grafting is an asnwer but will not yield a good cosmetic result. If there is no corneal irritation and the eye closure is not affected, I would recommend to do the fat grafting first. Best of luck!

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