Lower eyelid pulling down after Cheek Lift and Eyelid Surgery

I had Cheek Lift with repositioning of my cheek fat and a Blepharoplasty 3 weeks ago. My right lower eyelid is still pulling down. I'm afraid it won't go back up. What can be done about this?

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4 answers to “Lower eyelid pulling down after...”

A: Lower Lid Down Pull

Frank P. Fechner, MD

Did you have the cheek lift through a lower eyelid incision? Or did you have a cheek lift using incisions within the temporal hair together with a lower blepharoplasty? In these two situations, you may have a higher risk with prolonged lower lid retraction. Usually, this will improve (or normalize)... more

A: Your intuition is correct

Kenneth D. Steinsapir, MD

Dear M Unfortunately, this combination of procedures humbles many a midface surgeon. Generally the biggest issue is a failure to understand how lack of cheek projection affects lower eyelid support. Lifting up the cheek fat places a downward pull on the eyelid tissues and this can cause the lid contour to be... more

A: There may still be swelling.

Toby G. Mayer, MD

 See your doctor and discuss this with him. Very often after a cheek lift there is swelling of the lining of the eyelid causing it to look pulled down. This will go away after several weeks. If too much pull was exerted on the cheek, that can be another cause: time will tell. Eye drops will help the... more

A: Talk to your surgeon about your eyelid.

Eric M. Joseph, MD

If your lower eyelid is pulled down after surgery, this can be very uncomfortable. It can also lead to dry eye, and chronic irritation. If you're eye feels dry or uncomfortable then start using lubricating eye drops. You could also consult a board-certified ophthalmologist for specific advice. If you're not... more

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