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Correcting Blepharoplasty Results

I had lower Blepharoplasty done 2 years ago, and I've been back to my doctor several times to have the left eye bag corrected, as I am not happy with the results. Eventually, my surgeon said he would redo if I insisted, but it could make things worse, with complications in healing possible too. Is it really not possible to have Blepharoplasty results safely and successfully corrected?

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17 Doctor Answers | Asked by smith1966 in halifax

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Eyelid Surgery Revision

Correcting Blepharoplasty result is possible. Doing it safely and successfully requires a surgeon with great understanding of the Anatomy of the lower lid structures and support systems. After thorough examination of lower lid and mid face your surgeon should be able to make a diagnosis of the cause. Then a list of possible options should be available to consider. From your descirption, you most likely need repositioning of fat as well as muscular support of the lower lid. If... more

Revising a blepharoplasty (eyelid surgery)

A secondary or revision blepharoplasty of the lower eyelid can be done but needs to be approached very carefully. The main risk is that of ectropion where the lower lid can end up being pulled away or down from the eye. This can lead to excessive watering or dry eye and also to a cosmetically unappealing eye. You may need a canthopexy which is a procedure to tighten the lower lid to prevent an ectropion. I would consult with one or more plastic surgeons or... more

Blepharoplasty Results

If you are unhappy with your results at 2 years after your procedure, it is reasonable to consider a revision. However,without photos, it is difficult to assess the problem that you have, the level of benefit you will receive from another procedure, and the level of risk involved with a revision. Your Surgeon is correct in stating that another procedure could potentially lead to complications and a poor result; this statement is standard in informed consent. more

Blepharoplasty revision possible

Without knowing exactly what your issues are, it's hard to give you a specific answer. 2 years is certainly long enough to see final result. If your current surgeon doesn't seem eager or confident in your planned revision, you might consider seeking a second opinion.

Carmen Kavali, MD

11 reviews

Atlanta Plastic Surgeon

Revision eyelid surgery

Revision Blepharoplasty can be a rather complex surgical procedure and should be performed by some one with skill and experience in this field. Ask your surgeon if he would rather refer you to some one else. Every revision Blepharoplasty case needs to be analyzed thoroughly, as not all residual fat bags in fact need to be removed. There are many anatomical factors to consider to choose the best surgical technique.

Revisional surgery of the eyelids is occasional a generally safe.

I'm not sure about your specific problem but revisional surgery, although uncommon in eyelid surgery, sometimes will help the patient. You have waited long enough for healing to be complete. It is true that revisional surgery is a bit more hazardous than primary surgery, but it is necessary on occasion.

Blepharoplasty results can be corrected

Blepharoplasty results can be corrected. In your case two years is an adequate time to wait. Revision blepharoplasty is complex and requires expertise and skill on the part of your surgeon. Your doctor is quite correct in warning you that complications and unhappy results are more likely "the second time around." The risk of problems depends on what needs to be corrected. If you simply have residual fat or puffiness it can be a fairly simple procedure to remove the excess... more

Blepharoplasty revision

Blepharoplasty can be revised at two years after the procedure. In experienced hands it should not make things worse, as long as the healing process goes well. Be very clear about the expectations of what the proposed revision surgery will accomplish.

Revision lower Blepharoplasty

The three riskiest words in plastic surgery: revision lower blepharoplasty. When patients are unhappy with their lower blepharoplasty results, any revisional surgery should include several elements: 1. Very focused surgery on the problems that bother the patient. The goals should be very concrete. Make sure the revision surgery doesn't do exactly the same thing that the first surgery did. 2. Restoration of normal eye function (i.e. often sagging or pulling down of the lower eyelid is... more

Upper Eyelid Surgery and Correction of Assymetry

Upper eyelid surgery must be meticulously performed. In rare cases, the body may form scar tissue that will impair the long term outcome. In these cases, consideration to the risks and benefits of further surgery must be addressed. This would entail a careful examination of the functional and structural elements of the eyelid and the residual capacity of the eyelid tissue to withstand further surgical stress. Consult with your original surgeon who is most familiar with your surgery and... more

All surgery carries risk with reward

Revisions are sometimes necessary or even desirable and it is very possible that your lower lid rejuventation can be improved. The fullness or bag on the left could be from several causes such as an unrecognised fat prominence to the side or lateral compartment, a loose or lax septum which is the tissue which holds back the fat in the lower lid, or from excess in the muscle which contours the lower lid. If your doctor can identify the cause, your lower lid can be safely revised. Do consider... more

Festoons Beware

Without the benefit of an exam, it sounds like you may have a festoon. This is a sagging of the muscle of the eye that is often difficult to correct with surgery. Seek another opinion, but sometimes you have to leave well-enough alone!

Almost any blepharoplasty poor result can be improved.

To smith19, Hi. Of course, ANY surgery carries risks. But if you are really unhappy with your result, you are probably willing to accept the risk of a revision. Unless your surgeon convinces you that the risk is too high, go elsewhere. He or she sounds reluctant. I realize this means more expense, but sometimes that's the best choice.

Review your options with your surgeon

Lower blepharoplasty is one of the most technical procedures in facial rejuvenation. Revision lower lid surgery carries more potential risks due to repeat scarring, possibility for development of ectropion (exposure of the eye ball leading to dryness). A good knowledge of anatomy and good command of several techniques to avoid these side effects is a must in repeat surgery. Your surgeon will be able during his lower lid exam to access the laxity of the lower lid, the support structures... more

Revision can be done but make sure to get a second opinion

The lower lid surgery is very challenging because of the tissue weakness and also gravity. you need another examination and if your doctor does not feel comfortable to do the revision do not push the issue and get a second opinion.The revision is harder than the first surgery so make sure to find a surgeon that has done this before.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Revision blepharoplasty can be safe

It is difficult to answer your question without the specifics: your age, general health, what was the initial problem, and how it looks now. I would recommend a second opinion consultation with an experienced facial plastic or oculoplastic surgeon. In most cases, it is safe to have revision lower blepharoplasty in two years.

Any revision surgery carries risk.

Your doctor is correct. It really depends on how bad the condition is. If your left is noticeably worse and it causes you dissatisfaction then by all means pursue surgical correction. However, every surgery carries risk and there are no guarantees. Every surgery is an opportunity to cure but every surgery has the potentiial to have complications. However, it is generally possible to achieve improvements with surgery. I will quote your statement but change a few words: "Is it really... more