Will I Need Additional Surgeries to Correct my Bad Surgery in Thailand?

On August 27, 2010, I had my upper and lower eyelids operated on while I was on vacation in Thailand. The pictures were taken today, day 47. I am experiencing a saggy right eye, and lid looseness in both eyes. My question is, is this going to get better, or will I need a further operations to correct this. I will not be going back to Thailand. Additional Photos: http://www.realself.com/review/thailand-eyelid-surgery-bad

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8 Doctor Answers | Asked by Berkeley7305 in Berkeley

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Postoperative eyelid ectropion treatment

A better picture would be to see you in a straight on position without you tilting your head down, but it does appear that you do have some tightening to the lower lids which is called ectropion. It is a little early to tell you whether any corrective surgery is needed for this condition or not. This decision would be made 6 months after the original surgery. In the meantime massage the lower lids in a gentle upward direction as often as you can, keep the eyes as lubricated... more

It appears that you have lower eyelid ectropion

From the pictures you submitted following your eyelid surgery in Thailand, it appears that you have a condition called ectropion of your lower eyelids. I cannot see the condition of your upper eyelids from the photo. The ectropion may have resulted from removal of too much skin from your lower eyelids. Sometimes massaging your lower eyelids gently three times a day may help. However, I recommend that you consult a board certified plastic surgeon in your area. If... more

Will I Need Additional Surgeries to Correct my Bad Surgery in Thailand?

Your condition is called ectropion. This can be caused by scaring after surgery which usually happens days after surgery and could get better with time or because too much skin was removed. Looking at your pictures you seem to have a condition called negative vector. Your lower lid surgery should have been combined with a lateral canthopexy to tighten your lower lid and protect you from this condition. I think it is unlikely that your right eye will correct, but if you are protected... more

Thai Eye surgery

Berkeley7305, It appears as though you have ectropion. This can occur from an overly aggressive skin excision or scar tissue formation in the lower lid. It will occasionally resolve on its own, but not without some intervention on your part. If you have not yet begun massaging the area, this is an important first step. Secondly, the lower lid can be taped up (in the opposite direction of its retraction) for as many hours per day as is tolerated. The... more

Bad Result from Medical Tourism

You have ectropion. This is laxity of the lower eyelids. It can occur after blepharoplasty but can usually be prevented either before surgery (recognizing loose eyelids and planning to tighten them at surgery) or during surgery by not removing to much skin. You should see a board certified plastic surgeon in your are (Northern CAL) to get recommendations on the best method of correction. Dr. ES

Blepharoplasty Blues : (

After checking your photos, it appears that the lower eyelid has retracted due to the development of scar tissue. The good news is that this may resolve with lower lid stretching and massage; the bad news is that it may take up to a year to return to normal. The biggest concern at present is eyelid function and prevention of drying of the cornea. If the eye cannot adequately close and/or the tear mechanism does not function well, it can lead to ulceration. This may well be a bigger... more

Ectropion Complication After Medical Tourism Surgery in Thailand

Hi Berkeley, Sorry to hear about your bad Thailand vacation surgery experience. Unfortunately you are not alone in those who have suffered from "medical tourism". Many times you get what you pay for. You should consult with an experienced, board certified opthalmic plastic surgeon for evaluation. Although your retracted lower eyelids may improve a bit, I believe that most likely you will need corrective revision surgery. Most importantly,... more

Michael A. Persky, MD

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Los Angeles Facial Plastic Surgeon

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Eyelid surgery woes

You appear to have lower lid retraction on both sides with 'scleral show' of the white portion of your eye. In the early post-op setting, these issues can be temporary, and are related to scar contracture of the lower lid. This can resolve with time and diligent lower lid massage. Based on the series of photos you posted and the timing of your procedure (late August 2010), you should try lower lid massage daily for a few weeks and see if you notice improvement. After a few weeks... more