Eyelid Surgery Q&A
75%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
477 Reviews
Eyelid Surgerybefore & after photos
View Before and Afters

Average Eyelid Surgery Cost: $3,875

Learn about Eyelid Surgery

2,264 people and 797 doctors are talking about Eyelid Surgery

Get Free Email Updates

Lower Lid Retraction After Quadblepharoplasty and Canthopexy- Need Reconstruction, What Are My Options? (photo)

asked 7 months ago by mely in des moines ia
Latest answer by Aaron Stone, MD
Question viewed 299 times
Tags: lower eyelids, 10 years post-op, canthopexy, options, retraction, revision

lower lid retraction after quadblepharoplasty and cantophexy 9yrs ago a yr later skin pinch incision on both eyes and another one a year later, improved a little, but still some sclera show specially on rt. eye. Need advice on what procedure will suit me better. Pictures before surgery both eyes even.after surgeries and skin pinch incisions on both eyes wow sclera show. Sad sad sad ...

4 answers to Lower Lid Retraction After Quadblepharoplasty and Canthopexy- Need Reconstruction, What Are My Options? (photo)

+1

Ectropion after lower blepharoplasty

I cannot understand why if the first skin removal was excessive causing the ectropion why you would have 2 more skin excision procedures. After this many years the innermost layer of the eyelid will be deficient even if none of the conjunctival mucosa on the inner surface was removed in any of the previous operations. The treatment then is adding tissue to the superficial (skin) and deep (mucosal)layers of the eyelid. I suspect you will also have scar tissue in the middle layer that will... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Sceral show

I think you answered your own question. Too much skin was removed causing the scleral show even with a canthopexy. Am exam is critical to figure out what to do for you. A skin graft may be necessary or even a palatal graft if the inner lamellae is tight. Maybe a cheek lift? Hard to say without an exam.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Lower Eyelid Reconstruction For Shortening

Such amounts of lower eyelid shortening are unusual from the more conservative pinch excision approach to a lower blepharoplasty. But your degree of ectropion poses a challenge as the simplest and most assured solution is a skin graft which, while effectively raising the eyelid, will produce a very unsightly external patch or scar below the lashline. As a result, more sophisticated reconstructive methods are needed which included grafting on the inside of the lower eyelid and an external... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+1

You need your lower eyelids vertically and horizontally lengthened.

Dear Mely You posted the other day. The photos are very helpful. Many surgeons might propose tightening the lower eye to fix your issue. This will not help and is likely to cause the lower eyelids to ride lower on the corneal surface. You have scar in the lower eyelid which is responsible for the shortening vertically. The horizontal shortening is from the prior canthal surgery. The most efficient means of accomplishing this reconstruction is with a... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Ask a question