Will Eyelids Move Up After Lower Bleph with Incision After 12 Weeks Post Op?

asked 1 year ago by Kismet in Chicago, IL
Latest answer by John Pak, MD, PhD
Question viewed 203 times
Tags: lower eyelids, high, incision

I am 12 weeks post op from a lower bleph with incision. I had minimal fat removed, fat injected to the tear trough, and skin and muscle removed. Also, after retraction in the left eye a steroid was injected along the incision line. The eye lids appear to be different thickness and the thinner eyelid (left) appears to hang lower. Is there a chance that the eyelid will rise, as the skin seems loose but not pulling away from the eye? Also, how can this be improved if it does not resolve. Thanks.

5 answers to Will Eyelids Move Up After Lower Bleph with Incision After 12 Weeks Post Op?

Downward lower lid

HI Kismet from chicago, The previous surgeons have highlighted the difficulties with lower eyelid surgery results and expectations. Apart from revisional surgery which might be the only avenue remaining to correct the asymmetry of your lids, consider massaging the lid upward in an attempt to stretch the scarring of the tissue that is leading to the retarction or downward movement of your eyelid. If after months, this doesnt appear to improve, you will inevitably decide and commit to... more

John Pak, MD, PhD
Chicago Oculoplastic Surgeon

There is a possibility it will resolve on its own

Dear Kismet, What you describe is a known complication of lower lid Blepharoplasty. There can be many factors that cause this to happen.These are some of the factors: too lower much lid skin removal swelling of the lower lid, or sclera (white part of the eye) scar tissue pulling the lid down decreased muscle tone of the lower lid Fortunately, most cases will go away with non-surgical measures. You likely have already been instructed to massage the... more

Lawrence Tong, MD
Toronto Plastic Surgeon

Eyelid Surgery and Lid Retraction

Without pictures, there is no way to fully evaluate your situation. Regardless, your best resource is going to be the operating Surgeon; any concerns you have should be directed his/her way as soon as possible. What you are describing in your left lower lid may be lid retraction, which can happen after lower eyelid surgery.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Eyelid Surgery Results

Please revisit your surgeon for a Post-operative evaluation. Your questions are best addressed by the surgeon who performed the procedure. If you are unhappy following your next visit, seek another opinion.

Michael Sullivan, MD
Columbus Facial Plastic Surgeon

The month 4 result is an excellent predictor of where you will be in 12 months.

At 4 months, you are very close to your final result. Lingering swelling does take time to work its way out of the eyelid and might reflect the reestablishment of lymphatic channels. However, this is when I start planning revisional eyelid surgery for patients who are dissatisfied with the results of eyelid surgery performed by other surgeons. The probability of the issues you are describing resolving on their own with more time is low. You had had transcutaneous... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

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