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Is it Possible to Revise Lower Lid Retraction Due to Previous Blepharoplasty Operation?

I suffer from lower lid retraction due to a blepharoplasty; and most problematic is my painful and severe dry eye due to MGD. Are the muscles that are intermingled with the fatty tissue directly in contact with the meibomian glands, thus imperative to their function? Best Regard, Brad

Doctor Answers (8)

Lower eyelid retraction

+2

This is not an uncommon side effect of lower eyelid blepharoplasty. Massage and time are first line "treatments" in these cases. Unless there is an incredibly severe case, I would not recommend surgery until at least 3 months have passed from the blepharoplasty.

Although there are no studies to confirm or contradict this possiblity, It is unlikely that the eyelid muscle is in any way affecting the meibomian gland dysfunction. More than likely, it is the ocular surface tear film distribution that has been compromised.

Be patient and if the condition hasn't improved, seek the opinion of an oculoplastic surgeon


Seattle Oculoplastic Surgeon
5.0 out of 5 stars 21 reviews

Blepharoplasty Complication Retraction

+1

This is a definite complication of lower lid blepharoplasty, for which there are surgical techniques for repairing.  However, these are definitely challenging surgeries, so require a surgeon highly trained in the techniques.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Is it Possible to Revise Lower Lid Retraction Due to Previous Blepharoplasty Operation?

+1

Lower lid retraction after Blephroplasty is usually correctable with surgery.  You should see an Oculoplastic surgeon to determine what needs to be done in your particular case.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 13 reviews

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Lower eyelid retraction

+1

This problem can occur from blepharoplasty.  In some situations it is tempary and resolves as surgical swelling settles.  In situations where this fails to resolve, revision surgery can be performed where the eyelid is repositioned. 

Philip Solomon, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 29 reviews

There are many reconstructive options for the lower eyelid.

+1

Of course there is no substitute for an actual personal consultation.  Because of the presence of MGD, assessment by a fellowship trained oculoplastic surgeon will be most appropriate.  You might consider reposting your questions with photographs.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory that can help you identify a highly qualified surgeon near you (asoprs dot org).

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 15 reviews

Lower lid retraction.

+1

The lower lid retraction can be revised and elevated but I need to see photos or preferably you to say how this would be done.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Post bleph lower lid retraction and dry eyes

+1

Lower lid retraction is a common complication of lower lid blepharoplasty often due to too much skin and muscle removed or scarring in the middle layer of the eyelid due to a skin approach to the lid fat. Lid retraction is a separate problem from meibomean gland dysfunction. Lid retraction can be corrected but it is best to avoid the problem in the first place. Your best bet is to consult with an ophthalmic plastic surgeon.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Eyebags

+1

The answer to your question is definitely yes.

The outer area of your lower eyelid and cheek can be brought up and sutured into the appropriate position.

Consult an ophthalmic plastic surgeon

 

Perry F. Garber, MD
Long Island Oculoplastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.