Cheek Lift/Lower Bleph: Stitch in Medial Corner/droop in One Spot

asked 11 months ago by djr in virginia
Latest answer by E. Ronald Finger, MD
Question viewed 498 times
Tags: lower eyelids, droopy, 2 months post-op, scar tissue

I had lower transcutaneous bleph on both eyes and cheek lift thru temple/mouth incisions 8 weeks ago. its been misery! i noticed the doc put a stitch in the medial corner of my right eye, and now there is scarring and a droop in the lid (see pics). under the droop i feel a verticle line of possible scarring?? both eyes seem "wide eyed" with the left corner feeling pulled down as the day goes on. also, cheeks are so high my face is distorted when i smile. main concern is they eyes.

5 answers to Cheek Lift/Lower Bleph: Stitch in Medial Corner/droop in One Spot

Cheek Lift/Lower Bleph with prolonged swelling

You stated that you had a transcutaneous blepharoplasty with a cheek lift. Looking at your photos, it looks like the cheek lift (mid facelift) was performed through the lower lid. If this is the case, prolonged swelling is the nature of the procedure, sometimes over 6 months. Also some deformity of the lower eyelid is more prevalent, such as the sagging of the lower lid (ectropion) and the lid pulling away from the globe (eye ball). This appears to be the case with your surgery. At this... more

E. Ronald Finger, MD
Savannah Plastic Surgeon

Cheek lift miseries question? Dr George Commons

You are way too early to worry. See your doctor and if needed seek a second opinion. There are a lot of little tricks to seed this up but be patient. At times tiny dose Kenalog injects are useful as well as courses o Medrol dosepak. Warm compreses help. Eye care to prevent dryness includes cool mist vaporizer in room, Refresh eye drops, Celluvisc gel tears, and Refresh onitment. At times Tobradex drops and ointment help because of steroid... more

George Commons, MD
Palo Alto Plastic Surgeon

Cheek lift

It sounds like you had a subperiosteal midface lift combined with your blepharoplasty. Prolonged edema is common after this technique and you certainly still look very swollen. Be patient. You need another 4-6 months. Ask your doctor if he/she thinks that massage would help you.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

Transconjunctival cheek lift is a very temperamental operation. Select you surgeon with care.

I personally do not do the transconjuctival cheek lift. I don't think it is anatomically a logical operation to do. Your appearance is fairly common after this operation, but many of the problems you are experiencing may be related to swelling. I wound not reoperate under any circumstances until the swelling has subsided. It is possible that the problems will vanish with the swelling and another operation will be unnecessary.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Post-blepharoplasty lower eyelid droopiness

Hi. Your lower eyelids are rather tight (in the skin area) and likely also weak (muscle layer). You need to give it more time for the eyelid muscle tone to return (at least 6 months). In the meantime, it is important to lubricate your eyes to prevent dry eyes. If symptoms don't improve after the healing period over, then consult an oculoplastic surgeon for possible revisional surgery.

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

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