Will blepharoplasty affect my vision?

My eyes are more open than they should be, so it looks very scary at times. They are naturally like that. If I get my bottom eyelids tightened, will I still have perfect vision?

For example if I look down, will my bottom eyelids move down or will it stay in its place because of tightness? If it stays in place, I won't see anything when I look down because my bottom eyelids will cover my pupils.

So is it possible for me to get surgery on my bottom eyelids? Thank you very much for your time.

Dino

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12 answers to “Will blepharoplasty affect my vision?”

A: Lower blepharoplasty is risky for you because of prominent eye with scleral show

By Brooke R. Seckel, MD - Boston Plastic Surgeon

You have a prominent eye which is called proptosis. Your eye ball is bulging or pushed forward against the lower eyelid. The result is that the lower eyelid is pushed forward and does not completely cover the eyeball which is why you see white of the eye below your Iris and pupil. The white eye tissue is... more

A: Properly performed blepharoplasty will not affect vision

By William Portuese, MD - Seattle Facial Plastic Surgeon

A properly performed upper and/or lower blepharoplasty will not affect the vision. If there happens to be severe dermatochalasis of the upper lids which is interfering with vision, this will actually improve the field of view, if not the acuity of the eyelids. A physician can perform just upper... more

A: You will still be able to see after Blepharoplasty

By Jonathan Hoenig, MD - Beverly Hills Oculoplastic surgeon

The short answer to your questions is that after surgery, you will still be able to see when looking down. There are different ways to correct the scleral show - the whites of your eyes being visible. The most likely scenario for you is a midface lift with hard palate graft. As an oculoplastic surgeon, this... more

A: Lower eyelid elevation techniques will help

By Richard Gentile, MD - Cleveland Facial Plastic Surgeon

With the multiplexity of solutions provided by our excellent doctors online, it becomes important to discern what technique will elevate the lower lid with the least chance of creating another aesthetic disturbance. Volume filling can accomplish this with release of the orbicularis occuli muscle. The other... more

A: Yes

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

I've seen some interesting answers to this question. First I don't think you have proptosis. This means your globe is moved forward, "bulging" eyes. Because your upper lid in sligtly ptotic, low, you don't have proptosis. So you have a congenital, either lid laxity or ectropion. No problem. You need a... more

A: Another option is orbit decompression

By Tanuj Nakra, MD - Austin Oculoplastic surgeon

The other surgeons' comments about the stability of your lower eyelid retractors allowing you to see normally when looking down after a lower eyelid recession are correct. However, a lower eyelid "tightening" procedure will not help your scleral show, it may actually your globe appear more prominent,... more

A: Challenging Deformity

By Frank P. Fechner, MD - Worcester Facial Plastic Surgeon

I just read Dr. Steinsapir's insight and advice which demonstrates the complexity of your situation very well. Scleral show and rounding of the lower lids is a known complication after lower blepharoplasty. Even in practices of busy cosmetic blepharoplasty surgeons yours is a very rare problem. Certainly, a... more

A: When you look down, the lower eyelid retractors pull the lower eyelid down.

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

Hi Dino You need a complex surgery to address your relative proptosis. The eyes are prominent with a relatively weak orbital rim. In addition, you have midface descent. As a result, the weight of the cheek is not supported by the cheek bone at the orbital rim. The weight of the cheek pulls at the lower... more

A: Very effective visuals

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Dino, Great photographic documentation of your current appearance and where you'd like to go. Fortunately, it's not quite accurate with regard to the third photo, which depicts the lower lid being held up and blocking the pupillary opening. Meaning that you can have your scleral show corrected and not affect... more

A: Well performed lower eyelid surgery will not affect your vision.

By George J. Beraka, MD - Manhattan Plastic Surgeon

Hi! Both your lower eyelids and the outer corners of your eyes are too low. Both contribute to the undesirable look and both need to be corrected. The surgery does not replicate the motion you are doing in the photo and should definitely not affect your vision. You need a lower blepharoplasty and a... more

More answers to Will blepharoplasty affect my vision?
Sacramento - Yes and no
Southlake - Yes

Comments

mike2503
1 post
6 Mar 2009

My eye muscle has thickened and this has caused my eyes to protrude... can an orbital fat decompression help to solve this problem? As well my lower eye lids have retracted and one is about 1mm lower than the other, by have a alloderm graft surgery can this make my lids repositioned at same level? Could you give me a price range for orbital decompression, orbital rim implant and alloderm graft surgery in los angeles area?

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