What Approach to Choose for Drooping Eyelid Revision?

One of my eyelids is drooping about 1 mm lower than the other and showing white under my iris. I've now had consultations with 3 oculoplastic surgeons about correcting this problem, and each one has suggested a different approach. One suggested I try to Restylane to boost it up, another suggested a canthoplasty and Alloderm spacer, and the last said I don't need an Alloderm spacer and a canthopexy should fix it (even though my 2 previous revision attempts by my original surgery were canthopexies too). My last revision surgery was 8 months ago. Help - I'm so confused!

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droopy eye second opinion

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5 Doctor Answers | Asked by 2426anon in NJ

Doctor Answers (5)
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Scleral show

Quite frankly without examining you it is difficult to say what to do. Maybe nothing. You may need a resuspension. If the canthopexy did not work, then a formal canthoplasty may be necessary but it may change the angle in the corner of your eye.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

4th time's a charm? I doubt it

Yes, you do have some drooping but I must admit that it is minor. If it does not cause any visual problems or tearing problems you might want to leave it alone for a year or two. At least then all the scars will have settled down and softened up. Every time you go in you have a higher risk of healing and scarring problems. Look up the best oculoplastic surgeons in your area as there are plastic surgeons who specialize in only eye plastic surgery. I would not... more

drooping eyelid revision

You already had 2 operations or maybe 3 counting the first operation. WOW! Maybe you should consider the risks/benefit ratio of any more surgery. I question a 1 mm difference is an acceptable result. I question your realistic expectations. Dr. B

Based on the picture cantoplasty will be more successful

I would like to know what approach was used and do you have any original pictures before original surgery. What was your original complain? You had 3 surgeries so far and your lower eyelid sagging is noticeable ,but should also consider the possibility of complications and not achieving the perfect result. In person physical examination(lid movement, quality of the skin an amount of scar tissue)is a must before final recommendation.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

You are on the right track but you need a surgeon you are comfortable with.

I would advise you to continue to interview eye plastic surgeons. You need to do a little more research on those who specialize in fixing eyelids after cosmetic surgery. The first task is proper diagnosis of the problem. As I look at you your right globe sits lower in the face than the left globe. Also I get the impression that the left eye may be more prominent that the right eye. Restylane can temporarily help the lid margin but it does not really correct... more