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Blepharoplasty with Macs Lift and Their Complications, What can I do?

asked 5 months ago by imvb
Latest answer by A.J. Amadi, MD
Question viewed 249 times
Tags: lower eyelids, female, 3 weeks post-op, complication, MACS

3 weeks ago i had an lower eyelid blepharoplasty with macs lift.we have had to correct the ectropion already but i have still the strange "spaniel" look, the lower eyelid doesn't touch the eyeball and i cannot close my eyes totally. the white part still can be seen.do you think it will be better (when and if the eventual swelling of the lift goes back) or i will need another operative correction.i cannot massage it because practically i don't have eyelid anymore.my eyes get smaller and smaller.

6 answers to Blepharoplasty with Macs Lift and Their Complications, What can I do?

+2

Ectropion

At present as long as the cornea is protected that is the objective. It will be tight for a while, but should improve and soften with time. Follow closely with your doctor.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Eyelid problems after surgery

The first item of importance is to protect the cornea.. the tightness will diminsh with time. i would talk to my surgeon about a second opinion with an oculoplstic surgeon.. ointments and tears should be used.. massage and tape at night can help. talk to your surgeon.
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+2

You are having a serious complication from surgery.

You are having a significant eyelid complication from your surgery. The fact that you needed to "correct the ectropion already," confirms that your surgeon is in the 'weeds." Ectropion following aggressive transcutaneous lower belpharoplasty occurs because cutting the skin and muscle in doing the lower eyelid surgery damages the motor nerves that supply the portion of the orbicularis oculi muscle that helps hold the lower eyelid margin up against the eye... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Late to the game

It seems that you posted this question a couple months ago. But the most important thing here is to avoid rushing back to surgery. There are things that can be done to help diminish further scarring and contracture immediately after surgery, but at this point you should wait as long as possible [at least six months, but preferably even longer] before considering further surgery. COnsultation with an ASOPRS trained Oculoplastics surgeon is your best bet.
A.J. Amadi, MD

Seattle Oculoplastic Surgeon
+1

Blepharoplasty with Macs Lift and Their Complications, What can I do?

This, IMHO, is excatly what I have written about conerning Cheek Lifts. The potential of pulling the lower eyelid down, IMO, is very real with these types of lifts. You might want to see an eye specialist for treatment and evaluation of the lower eyelid malposition. IMHO, finding a plastic and cosmetic surgeon that understands and follows the proper aesthetics of facial beauty is the primary concern when seeking a Face Lift.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Early Lower Eyelid Retraction After Blepharoplasty

While it is not clear what your eye area looked lke before surgery, you do have tightness and a 'shortage' of lower eyelid skin at present. Having had an early ectropion repair, the most important issue now is that you have adequate corneal protection and aggressive management of any dryness of the eyes. This is an issue now of time...at least six months to allow all of the tissues to relax and see what residual ectropion and any associated symptoms remains. The biggest mistake... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon

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