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Lower Blepharoplasty with Slightly Protruding Eyeball, How Can I Avoid Potential Complications?

asked 8 months ago by BGinVA in Unionville, VA
Latest answer by Jeffrey Epstein MD, FACS
Question viewed 162 times
Tags: aftercare, protruding

I had my 2nd consultation for a lower bleph today, and like that the new PS mentioned something that the other one didn't. He stated that my eyeball protrudes slightly more than my lower eyelid, making the surgery a little more complicated (I'm sure he's right as my dad and sister had this same issue). What precautions should be taken to avoid complications with this issue? He mentioned one, but I wanted to see if there were any other or differening opinons. Thanks in advance.

7 answers to Lower Blepharoplasty with Slightly Protruding Eyeball, How Can I Avoid Potential Complications?

+2

Lower Blepharoplasty with Slightly Protruding Eyeball, How Can I Avoid Potential Complications?

The best advise to give you regarding avoiding a complication is to see a surgeon who has done many of these types of procedures and/or repairs the complications of these procedures. In this way, you will have done everything you possibly can.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

+2

Lower Blepharoplasty in the Prominent Eye Patient

What he specifically was referring to was the risk of ectropion or lower eyelid malposition (pulled downward) after surgery. While this is a potential risk in any lower blepharoplasty procedure, certain eye conditions increase that risk. One of those risk factors is the prominent eye, which usually is the result of poor or weak bone support around the eyeball. Recognizing this condition before surgery allows your plastic surgeon to make adjustments to the lower blepharoplasty technique... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+2

Lower Blepharoplasty and Prominent Eyes

Prominent Eyes can have several meanings, so my best advice is to ask the surgeon has had the benefit of examing you. Eyes can be prominent with conditions like Grave's disease, lid retraction or it can refer to the situation where the cheek bone is positioned posterior to the front of the eyeball. WIth lower eyelid surgery a prominent concern is maintaining a normal relationship between the eyeball and the eyelid. This can help prevent dry eyes, problems with tear drainage and... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon
+2

Lower Lid Blepharoplasty in Prominent Eyes

Your Plastic Surgeon was absolutely right. The lower eyelid is not a very strong structure in the best of circumstances, and prominent eyes are far from the best of circumstances. Patients with this condition are at higher risk of lower lid retraction or even ectropion due to the factors explained very well by Dr. Steins. A conservative approach with additional support maneuvers isrequired.
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

www.drprendiville.com

+2

This can not be answered in a meaningful way for you without a personal consultation.

Your PS is absolutely right that lower eyelid surgery on the so-called prominent eye is considered high risk for lower eyelid malpostion. The appropriate saying is that "fool rush in where angels fear to tread." The prominent eye is relative to lower orbital rim projection. This lip of bone is where the weight of the cheek is supported. With poor projection, the weight of the cheek is not well supported and pulls on the lower eyelid. Many of the lower... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+2

Prominent eyes and blepharoplasty or eyelid surgery

Prominent eyes require certain precautions: do not remove fat consider repositioning fat consider other fillers for volume suspend the muscle but do not pull too tight
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+1

It may not be necessary for a complicated surgery

It may not be necessary for the surgeon to do anything special with your procedure, other than to be very conservative with skin excision, and to utilize a transconjunctival approach (my preferred approach) to avoid any eyelid pulldown. However, if there is weakness of the lower eyelid, then some surgeons will suggest a lid tightening procedure.
Jeffrey Epstein MD, FACS

Miami Facial Plastic Surgeon

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