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Lower Eyelid Looks Pulled Down 4 Weeks Post-op

I had a lower eye lift almost 4 weeks ago. My eyes are very red and have a pulled down look. Will this go away? The left eye seems worse?..What can I do to speed recovery along? I don't have another follow-up until March. Should I be concerned? I don't have any photos.Thank You.

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18 Doctor Answers | Asked by Question1234 in Boston, MA

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Lower eyelid retraction after surgery

I am sorry to hear that you are having this problem. When you re-visit with your surgeon, which you should do soon, he or she will advise you as to the appropriate choice for management. The causes for this side effect are numerous but so are the treatments. In most cases, with careful post operative treatment this side effect can be addressed successfully Good luck

Droop After Eyelid Surgery

See your doctor as soon as you can get in in the next couple days. If needed, timely intervention can make all the difference

Eyelid problem following surgery

Eyelid position changes do occur and some droop of the lower eyelid is not uncommon. It is important to protect the eyeball covering (cornea) from drying out and it sounds like there is alot of inflammation. Try to keep the eyes lubricated with frequent drops, massage the lower lid upwards, work on trying to actively squeeze the eye closed and you should definitely see your surgeon sooner than in March. Good luck.

Eye irritation

Hi Your irritation and redness of the conjunctiva sounds like your eyes are becoming drier than prior to surgery. It is best if you seek advice from your ophthalmologist as there are non-surgical approaches that could reduce the irritation but not the contour and shape of the eyelids. Eyelid surgery on the lower lids could result in the downward displacement of the lid and ensuing dryness of the eyes. Your description of the "eyelid pulled down" speaks to this as the main culprit. more

If the eyes looks pulled down it’s helpful to massage them upward

During the post operative period, if the eyes looks pulled down it’s helpful to massage them upward. Sometimes to stretch them upward may be helpful because they may be scarring down. In these cases, massaging upwards and outwards should be helpful. But, you should see your doctor before manipulating anything.

Pulled down eyelid after lower blepharoplasty

Malposition of the lower lid can range from mild & temporary to severe & serious. You should certainly see your surgeon promptly. Mild forms are managed with lid massage & upward stretching exercises for the lower eyelid, external taping of the eyelid, and eyedrops and lubricants to prevent problems with dry-eye. Often, with time, the milder forms of lid problems will resolve with these treatments. More serious forms may require surgery to restore the... more

Don't get too concerned

It is not uncommon to have the appearance of pulling of the lower eyelid this soon after the surgery. Most of the time, it is due to swelling in the eye pushing the eyelid away causing the appearance of a droopy or pulled eyelid. I would discuss this with your surgeon. I personally place my patients on some steroid eye drops and recommend upward massage of the eyelid in this circumstance. In virtually all patients, this pulling will normalize, it just takes time. Andrew C.... more

Problem Following Eyelid Surgery

Hello, It is still very soon after surgery, and it would be best for you to discuss this with your surgeon immediately. He/she knows the extent of your surgery and exactly what was performed, and will be able to provide you with the best advice. Thank you, and I hope this helps answer your question. Dr. Nassif

Ectropion (Lower Eyelid Malposition) After Lower Blepharoplasty

You need to contact your surgeon immediately and get in for a follow-up. You will undooubtably be placed on some eye drops, night time eye protection and massaging to manage your ectropion (lower eyelids pulled down) after your lower blepharoplasty. You are well within the early postoperative period where further improvement is likely to occur.

Lower Eyelid pulled down after Blepharoplasty

Hi Question1234 in Boston, MA, Speak with your eyelid plastic surgeon now to address these concerns. What you describe may be ectropion, or the eyelid pulling downward and away from the eye itself. This eyelid position may contribute to symptoms such as dryness, irritation, redness, or tearing. Untreated, ectropion may lead to ulcerations of the eye. The etiology of eyelid malposition is multifactorial and complex. Swelling, skin removal, weak muscles, or scarring are some... more

Lower Lid Blepharoplasty

The most important thing at this point is to keep your eyes moist. Get some liquid tears or ointment to help protect your eyes. You should see your surgeon soon and if they are not comfortable treating you, you should be referred to someone who is. You will likely need a combination of massage and possible injections to help soften up the scar tissue. However, there is a chance that you will also need a surgical release as well. However, without pictures or... more

Lower eyelids pulled down

If you are experiencing eye discomfort following your lower lid blepharoplasty, it is reasonable to see your surgeon before your next scheduled follow up appointment. If you did not have an oculoplastic surgeon do your surgery you may want to consider seeing an ophthalmologist to evaluate your eyes.

Eyelid droop after surgery

This can be caused by swelling or too much skin removal or a weak eyelid and usually goes away. You should see you surgeon now, since if it is chemosis it can be treated now.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Lower Eyelid Looks Pulled Down 4 Weeks Post-op

See your surgeon NOW! Very possible you have the starting of an ectropion. From MIAMI Dr. Darryl j. Blinski

Lower Eyelid Problems Post-op

It sounds as though you have more than one problem. You may have chemosis, an inflammation of the conjunctiva (the covering of the eyeball). If so, this needs vigorous treatment with eyedrops. The pulling down is a common problem. It frequently resolves, but should be watched and probably treated, especially 4 weeks after surgery. Although your appointment is not until March, you need and appointment now to have these problems evaluated. Your surgeon would much rather see you when not... more

What you are describing is a problem.

Unfortunately, it is sometimes easier to stick one's head in the sand and hope problems go away. Lower eyelid surgery can cause damage to the lower eyelid. These issues can be complex. Often a period of healing is needed before reconstructive surgery can be performed. However, treatment with medication such as steriods and simple mechanical treatment such as finger winking can help with the ultimate lower eyelid position. You might consider getting an... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Potential Complication of Lower Eyelid Surgery - My eyes are very red and have a pulled down look. Will this go away?

Regarding: "Lower Eyelid Looks Pulled Down 4 Weeks Post-op I had a lower eye lift almost 4 weeks ago. My eyes are very red and have a pulled down look. Will this go away? The left eye seems worse?..What can I do to speed recovery along? I don't have another follow-up until March. Should I be concerned? I don't have any photos.Thank You." ECTROPION, the pulling down of the lower lid can be associated with drying and redness of the eye which may cause ulcerations. The... more

Lower eyelid

If you are having any eye irritation, you should discuss this with your surgeon now, and not wait until march. Lower eyelid retraction can occur if too much skin is removed, or if the scar tissue tightens up as you heal. Generally, massage and stretching is helpful. You should ask your surgeon about these measures.