Unhappy with Blepharoplasty. Drooping and Pulling Down of Lower Lids? (photo)

I am now 18 months post blepharoplasty and am not entirely happy with the results. The scars have healed with a definite drooping and pulling down of the lower lids, one side moreso than the other (and despite taping for 6 weeks post surgery and massage). Is another surgery the only way to rectify this?

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9 Doctor Answers | Asked by jtwweller in Gold Coast, Australia

Doctor Answers (9)
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Revision involves anchoring eyelids to a solid structure in the eye area's anatomy

As a cosmetic oculofacial plastic surgeon, the lower eyelids being pulled down is one of the most common reasons why people come to me for revisions after cosmetic eyelid surgery. The people that tend to come to me have significant droop after one or two additional procedures were attempted but further revision was still needed. The lower eyelid is a complex structure. Even plastic surgeons and facial plastic surgeons don’t always appreciate the complexity nor have all the tools... more

Revisional lower eyelid surgery

You appear to have lower eyelid retraction after lower blepharoplasty. That could be due to a number of reasons including tight skin of the lower eyelid, scar tissue inside the lower eyelid, weak orbicularis muscle (responsible for closing the eyes), or a combination of these factors. There are nonsurgical (filler injection to "stretch" and lift the lower eyelids) and surgical options (skin graft or midface lift) available, depending on the exact problem and goals. See an oculoplastic... more

Scleral show

It looks like you have some bowing and scleral show laterally in both eyes. This may be the result of poor tone in the lower lid. An exam in person will determine the best treatment. You may need a canthoplasty which is a method to tighten the lower lid and resuspend it.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Volume for lower lid malposition

The first line of correction for this is volume restoration of the lower lid. This can be done with restylane or preferably fat. It is significantly less invasive than reoperating.

Mark Glasgold, MD

14 reviews

Bedminster Facial Plastic Surgeon

glasgoldgroup.com

Lower lid blepharoplasty dissatisfaction

You certainly could have a revisional procedure. You appear quite young and I am wondering about your reason for undergoing surgery. Faces, and results, aren't symmetrical as a rule.

Lid pulling after lower lid rejuvenation

Downward pulling of the lower lid is called ectropion and after 18 months despite massage it is likely you will need a procedure to correct the situation. We see this when the lid tone is naturally lax, or the skin overtightened. A canthoplasty can support the lid and restore a natural eye shape.

Ectropion Correction after Eyelid Surgery

Thank you for the question and posting your picture. The drooping you are concerned about is caused by a loose lower eyelid. In mild cases, the result is "scleral show" -- some of the white part of the eye shows under the colored part. In other cases, the lower eyelid rolls out and does not completely contact the upper eyelid with closure. This is ectropion, and requires repair. There are many ways to address ectropion, including repeating the eyelid surgery with addition of a canthoplasty... more

Pulled eyelid (ectropion) after blepharoplasty

Some causes for this appearance can be corrected with steroid injection, but this far after surgery it's not that likely to help. Either a procedure to secure the outer corner of the eyelid or skin graft might be needed, depending on the cause. I recommend you discuss your concerns with your surgeon and seek a second opinion to help you decide what to do. Best wishes.

Lower eyelid rounding after blepharoplasty

Dear jtwweller Although temporary non-surgical injections can be performed, they would have to be repeated Seek a consultation with your surgeon and/or a second opinion Lower eyelid tightening can be a fairly simple and effective surgery to help you with this problem, but discuss the risks and benefits in detail. Best Wishes