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I Had Lower Eyelid Surgery 4 Months Ago and Right Eye Still has Droopiness, Options? (photo)
My right eyelid still has some droopiness. My doctor is says he could put another stitch to hold it up. Is this the best option?
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9 Doctor Answers |
Asked by
suzi
in utah
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I Had Lower Eyelid Surgery 4 Months Ago and Right Eye Still has Droopiness, Options? (photo)
As others have stated, you have right lower eyelid retraction. A stitch does not fix this. You will need some type of reconstructive lower eyelid surgery to raise and support the eyelid. The best time to operate is at least 6 months after your last surgery. Please see an Oculoplastic surgeon who has experience in this type of surgery. Good luck.
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Sometimes injections can help
Lower eyelid retraction used is still one of the more common complications of lower blepharoplasty. If there is scarring inside the eyelid pulling it down, injections of Kenalog (cortisone) or 5-FU or both can help the scarring soften and release the pulled-down eyelid. If this does not help, you may need corrective surgery. Generally surgery is done at least 6 months and sometimes longer after the first surgery so the active scarring and pulling has stopped.
Your doctor may just be...
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Secondary correction of sagging lower eyelid
At four months after your blepharoplasty surgery, it is appropriate to adjust the corner of the drooping eye. This can be simply done under local anesthesia if you desire by doing a lateral canthopexy and lifting and repositioning the skin at the puter corner of the eye. i suspect this was what your surgeon was planning on and simply summarized the approach by calling it 'putting in a stitch to tighten it'. No surgeon would think that simply putting in a few sutures will solve this...
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Post surgical lower eyelid malposition (photo)
My personal routine in this situation is for office revision of both lower lids, right more than left, to mobilize the lower lids upward and re-do the canthopexies. you are looking slightly upward in the submitted photo, so if the left lower lid is in good position in forward gaze, best leave it as is.
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Agree with Dr. Taban.
Four months after surgery is a good time frame to judge the effects of surgery. Transcutaneous lower eyelid surgery damages the muscle that helps hold the lower eyelid margin in place against the eye. Removal of skin and scaring from surgery has created a vertical height issue in the right lower eyelid. Surgeons lacking post-blepharolasty reconstructive surgery experience commonly err thinking that this type of situation can be improved or cured by "putting a stitch in...
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Postblepharoplasty lower lid retraction
You have right lower lid retraction, postblepharoplasty. It is unlikely that just putting a stitchalone will hold it up, as there is tightness and traction on the lower lid. There may be other factors involved as well. You should consult an oculoplastic surgeon for options.
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Cicatrcicial lower lid retraction
By looking at your photo it appears you have cicatricial lower eyelid retraction. This means scarring in the lower eyelid which pulls the eyelid down. Most often I see this as a result of too much skin being removed during a cosmetic lower eyelid procedure, which it appears is consistent with your history. In my experience, since I see so much of this, putting 'a stitch' in the corner to tighten the lid doesn't help. The best results in my hands occur with a cheek lift to raise...
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Droopy right lower lid after blepharoplasty 4 months ago
Hello Suzi,
From your picture, you appear to have "rounding" of the right lower lid. This is usually due to the healing forces from surgery that exert a downward pull on the lid. It is still relatively early in the healing process and you should be in close contact with your surgeon regarding your concerns. In the meantime, techniques such as upward massage can possibly help, but if there is no progress after a period of time, you may need to have a small surgical procedure to...
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Droopy eye after surgery.
Your photos are helpful and do show more scleral show on your right side. An exam would help clarify if the healing in your lid is still active and is holding the lower lids down from the internal scarring. You appear to be young and your tissues good. Some gentle upward eyelid stretching, to lengthen the scar, and some active eye squinting exercises to strengthen the lower lid muscles may raise the lower lid over the next few months so as to avoid any new procedures. ...
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