How to Fix Bad Results from Blepharoplasty?

asked 3 years ago by mollie123 in Shelby NC
Latest answer by Brooke R. Seckel, MD
Question viewed 2,034 times

I had my lower eye lids done. They are so bad, they hang out and too much skin was taken out. You can see the inside of my eye ball and I have to keep putting drops on them. I still have bags.

They look so bad, I can't go out. What can be done to fix them? It looks like the surgeon just cut all my skin off. I can't stand it! They hurt and my eyes want close all the way. The bottom lids go over the top and stick. I'm very worried.

10 answers to How to Fix Bad Results from Blepharoplasty?

Seek an expert evaluation soon

You unfortunately have issues which cannot be ignored and likely will not resolve with conservative (watchful waiting) measures. You should see an expert evaluation with a plastic or oculoplastic surgeon very soon. In the mean time, be sure the keep your eyes moist with drops or ointment to help prevent any damage. Good luck.

David Shafer, MD
New York Plastic Surgeon

Ectropion after Blepharoplasty is very serious

The picture shows that your lids are pulled down and away from your lower eyelids which is what we call an ectropion. Although this condition may improve with time if you are in your first month of recovery, it is a serious condition because of the risk of dryness to the eye. It is essential that you be closely followed by the doctor who did your surgery. Keeping the eyes moist with eye ointment and drops is essential. If you are early in your recovery-3-4 weeks your doctor may decide to... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Follow up with your surgeon

It is important to wait several months to ensure that the swelling has indeed subsided after the upper and lower blepharoplasty has been performed. Continue to use drops during the daytime and Lacri-Lube ointment at night to prevent a drying of the cornea. Follow up with your surgeon or an oculoplastic surgeon can address these issues for you.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Bad Blepharoplasty results could be fixed

It can be fixed, as previously expressed in this forum. You have lower lid malposition following lower blepharoplasty. This is not an uncommon condition, but the full blown ectropion is rare. You will need an examination by a plastic surgeon with occuloplastic training or an occuloplastic surgeon. Repair of your lower lids wih canthal support and possibly reconstruction. I would not worry; just have a good advice and a good surgical plan. It could be fixed.

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

Surgeon who specialized in reconstructing eyelids after aesthetic blepharoplasty is needed.

Dear Mollie Just about any surgeon who performs facial cosmetic surgery offers routine cosmetic eyelid surgery. However, fixing routine cosmetic eyelid surgery after it goes bad is a whole other matter. Aesthetically fixing your lower eyelids so that they sit against the eyes, function properly, and look right involves significant reconstructive surgery. I am not aware of any general plastic or facial plastic surgeons who can perform this type of work. Finding an oculoplastic surgeon... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

This needs to be fixed.

You not only have a cosmetic situation, your eyes are at risk. To start with, you need to keep them moist with ointmant and drops. Taping may help too. I am not sure if too much skin was removed or other structures were injured, or you have residual swelling- much depends on the time from surgery. You need to discuss your concerns and exam with your doctor. Depending on timing from surgery, you may need to discuss surgical options. If further surgery is needed, I recommend that you... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Ectropion repair

Unfortunately, it looks like you got a big problem. It will not get better by itself,and it will not be easy to fix, but it should be possible. You need to see an oculoplastic surgeon, well versed and experienced in lower lid repair techniques. You might want to see more than one surgeon for a consultation to discuss your options. You will get much more information than any of us can give you over the internet.

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Lid retraction and ectropion after Blepharoplasty can be improved

I am sorry to learn of the difficult y you are having after eyelid surgery. First and foremost, speak with your surgeon about alleviating the problem. Until it is corrected, it is important that you lubricate your eyes with artificial tear drops and lubricants. Depending upon the timing since surgery this may improve with conservative measures like massage. If massage does not help improvement you may need further corrective surgery to allow the lids to go back to their normal position. ... more

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon

See a reputable plastic or oculoplastic surgeon quickly

It seems your diagnosis is fairly accurate although sometimes healing is abnormal despite good surgery. Depending on when you had your surgery, you need to see an experienced and reputable plastic or oculoplastic surgeon sooner than later. If the surgery is recent, temporary measures may be advisable to prevent further distortion of the lid due to scarring and contracture. Sometimes a stitch or a surgery needs to be performed at t he corner of the eyelids to temporarily close the eyelids to... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Not an easy problem to fix but possible

Unfortunately, in an effort to make a "home run" result many surgeons take too much skin which leads to ectropion. However, mild ectropion can occur after surgery even when the correct amount of skin is removed. Not knowing how long ago surgery was makes this somewhat difficult but I'll give it a shot. First you're doing everything right by using the drops. Next you should be taping the eyes closed at night and using an ointment to keep them moist. Third you should be... more