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Lower Bleph with Incision - Can This Cause Eyeball to Move?

asked 1 year ago by Kismet in Chicago, IL
Latest answer by Francis (Frank) William Rieger, MD
Question viewed 549 times
Tags: eyes, lower eyelids, incision, movement

I had lower eye bleph with an incision about eight weeks ago. My PS told me me that after removing minimal fat, he cut skin and muscle than redrapped the muscle. My question is whether this procedure could cause the eyeball to move up, forward, and slant. If so, will it resolve in more time? Thanks.

14 answers to Lower Bleph with Incision - Can This Cause Eyeball to Move?

Eyelid surgery, blepharoplasty, micro fat grafting, cosmetic surgery

Dear Kismet in Chicago, IL Eyelid surgery can take several weeks to months to settle. Certainly there can be distortions of the eyelids and cheeks due to swelling and the healing process. You should visit your surgeon and ask these questions- and if there is anything to help with healing such as supplements and ultrasound. With Warm Regards, Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon

Lower lid blepharoplasty will not change the position of the eyeball

In general, lower lid blepharoplasty will not change the position of the eyeball unless something has been done to one of the muscles that move the eyeball, which is extremely rare. More likely, it has changed the position of the eyelid in relationship to the eyeball which makes the eyeball potentially look like it’s been moved. That may be what’s going on. It often will get better. Sometimes as doctors, we recommend massaging the lid upward if it’s being pulled... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

www.ChelseaEye.com

Has Eyeball moved up or eyelid down....

What needs to be determined is exactly what is different about the eyeball (globe) or eyelid position. It is not uncommon to see the eyelid move down or become "rounded" after the lower blepharoplasty procedure. This is a recognized "side effect" from the surgery. For the eyeball or globe to move upwards is far less common. See your operating surgeon and discuss your concerns with him....

Richard Gentile, MD
Cleveland Facial Plastic Surgeon

www.facialplastics.org

Lower blepharoplasty can cause the eye appearance to change.

Lower blepharoplasty can cause the eye appearance to change, It depends on what and how it was done. You may only be noting the swelling which will go away. See your surgeon for the answer.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Lower lid and eye position

It is hard to figure out what exactly you are complaining about. it is unlikely that the eyeball itself has moved. Certainly the skin around it and the lower lid position may have changed. An exam would be vital.

Steven Wallach, MD
Manhattan Plastic Surgeon

Lower Bleph and Eyeball Position

Kismet Before and after photograph would be very helpful in making a diagnosis in your case. Also it would be helpful to know if one or both of your the eyes were affected and if you noticed the changes immediately after surgery, how have they changed over the last 8 weeks. While it is uncommon to have an injury to one of the extra-ocular muscles during lower blepharoplasty, this certainly could cause changes in eyeball position and movement. Scar tissue, excess... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Lower Bleph with Incision - Can This Cause Eyeball to Move

Without seeing your photo, it is difficult to imagine what you are referring to. Are you having any double vision or vision difficulties? If not, then it may be possible that the upper eyelid position has changed on your eye, which may be giving you the appearance that you are referring to, or your surgeon may have performed a canthoplasty, which can give the appearance of a slant to the eyes. If your surgeon cut the levator muscle and repaired it, this can change the... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Unfortunately this approach is associated with complications.

Kismet Obviously you are having some type of issue. Without a personal examination or photographs, it is difficult to understand what you are experiencing based on your description. The surgical approach that you had commonly damages the muscle in the eyelid that helps hold the lower eyelid margin in position against the eye. The surgery actually cuts the nerves that supply the muscle. Why do surgeons continue to perform this type of surgery then? The... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Change in eyeball position after eyelid surgery?

Lower eyelid surgery is becoming very conservative at the present time. Some techniques favor making an incision inside the lower eyelid, through which some fat may be removed . This is combined with a procedure to firm up or tighten the lateral corner of the eyelid, preventing it from drooping. Only a small amount of skin ever shoild be removed from the lower lid. The eyeball will never move from its normal position, but when the eyelid position is moved or... more

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon

www.riegercosmeticsurgery.com

Can incsions on the eyelid affect the eyeball

Manipulating the eyelid muscles might cause some slanting of the aperture or opening of your eye, but as they are not connected to the eyeball itself, it should not cause the eyeball to move up or forward.I will say that on some occasions, if too much skin is removed from the lower lid or there is scarring pulling the lower lid down enough it can make the whites of the eye be seen below the colored portion of your eye and might give the appearance of the eyeball looking more prominent or up.... more

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Blepharoplasty can change eyeball position

The answer to you question requires significanlty more information regarding the type of surgery performed. Generally blepharoplasty MAY change the shape of the eyeldis but should not cause a signficant change in the position fo the eyeball. what you are describing can happen if the eyelid ligaments (canthal ligamnets) were also tightened causing the eye to shift upwards. In general this can resolve slowly over time. Alternatively the points of attachement can be revised to allow for a... more

Ebby Elahi, M.D.
New York Oculoplastic Surgeon

Appearance change with lower blepharoplasty

It is unlikely there has been any movement of the eye but there can be changes in lid shape following blepharoplasty. I recommend following up with your surgeon to determine whether what you are seeing is the result of post-operative swelling or an actual change in lid shape.

Mark Beaty, MD
Atlanta Facial Plastic Surgeon

Lower Bleph with Incision - Can This Cause Eyeball to Move?

Yes it is a possibility. but you need in person evaluation not over the internet. Seek more opinions in person. You may have inferior obliques eye muscle injury. From MIAMI Dr. darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Lower Lid Pulling (Retraction) is a Complication of Lower Lid Blepharoplasaty

Regarding: "Lower Bleph with Incision - Can This Cause Eyeball to Move? I had lower eye bleph with an incision about eight weeks ago. My PS told me me that after removing minimal fat, he cut skin and muscle than redrapped the muscle. My question is whether this procedure could cause the eyeball to move up, forward, and slant. If so, will it resolve in more time? Thanks." Surgery of the lower lid does NOT affect the position or movement of the eyeball itself unless... more