Eyelids won't shut after blepharoplasty

I'm a patient who had Blepharoplasty in 2004, followed with some more corretion for the upper eyelids during 2005. Since then i have irritated eyes. My lowerlids are red all times, dry and itchy.I went to see some doctor including the surgeon who performed the surgery and they told me i had allergies and gave me bunch of eyedrops with steroids, but nothing worked.Finally,the last doctor i visited, came to a conclusion, that my upper lids don't fully close, and my tear production is low (5,6).I checked my tear production before having the surgery that was (8,10).Im concerned, it's been 4 years since the surgery and my eyes are bad, i'm currently using genteal drops and gel during the night,but i see only a little improvement, the redness never goes away, i also keep my humidifier on while i sleep or im at home, but as soon as i go out especially in winter time, my eyes get really red.Is there a way i can get rid of this condition, this dry eye symtom developed during these years after the surgery? I feel so helpless living and dealing with this condition every day that never stops.I would appreaciate any help from you doctors. Thanks, OP

There are 2 things that the surgeons on this website have not mentioned regarding the treatment of eye "redness" and "dryness." The suggestions that I have heard from ophthalmologists, are the following--but please check with your own eye doctors before trying either possibility. Suggestion #1: Wash your eye area with diluted BABY SHAMPOO, such as Johnson's baby shampoo, because it's possible that the redness in your eyes might be caused by MITES that live in the eyelash area. My sister's opthalmologist suggested that she do this, and it helped both my sister and me with our eye redness. [My sister has never had eyelid surgery, but I have]. It's also possible that, because most soaps sting the eyes, the patient is not cleaning the eye area as well as needed--ie., there may be residual eye makeup left after washing one's face that irritates the eyes causing pain and redness. I think the baby shampoo helped me in this regard too. Suggestion #2. TAPE your eyes closed at night with a tape your opthalmologist recommends and follow his instructions on how to tape them correctly. My opthalmologist recommended just plain old 'Invisible Scotch tape," about 1" of it taped vertically from the upper cheek to below the eyebrow (thus it does not stick to the eyelashes). This helps keep the eyes from drying out if you have poor eye closure during sleep. This was ENORMOUSLY helpful for me. I don't know if these ideas will help others or not, but I hope Realself.com's doctors will comment on it. ....and please check with your own doctors before trying either of the above suggested treatments.

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With that amount of white showing (2mm), it should get better with time.  It may have been secondary to taking too much skin off or if your surgeon also raised your eyelids with ptosis surgery.  Skin grafts for the upper eyelid are very very uncommon thankfully as inevitably, the upper eyelid skin will stretch and hood again with time.  That being said, you have to protect your eyes/cornea from drying as this can lead to irreversible damage.  Lubricant eye ointments when you sleep and routine use of eye wetting drops can protect you until the eyelid skin begins to stretch and drop again.  Massage of the incision and exercises (hold your upper eyelashes down with your fingers while trying to raise your eyelids) can help as well.  Worse comes to worse, you can have a temporary stitch placed in the corner of your eye (tarrsorhaphy) to help protect your eyes.  This may not look good but it sures beat the alternative of irreversiable cornea damage.

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