Facelift: Q&A
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Droopy Eye After Mid Face Lift
mid face plastic surgery 15 days ago. right eye does not blink & lower eye lid has started to droop, eye also tearing. Dr has me tape at night and now in day, wants to schedule corrective surgery in 12 days. He told me 3 days ago to wait nerves may regenerate..now since I called him about lid drooping and eye tearing..wants to do surgery.Why so urgent now. why not wait for rejuvenation
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19 Doctor Answers |
Asked by
Linda in SC
+3
No Rush for More Facelift Surgery or Midface Surgery
There is no rush. The best way is to treat conservatively for 3 to 6 months. You will be fine. There are many ways to protect your eyes....ointment....gel drops.....tears artificial......tapes.....patches at night plus ointment....humidified room....protective gloasses when outside........The whole trick is prevent dryness and you will clear up. As the swelling gos you will come up and be fine. Now there is a time to operate if you are way down or experiencing...
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+2
Droopy eye after midface lift
Facial nerve branch injury after midface lift is not that uncommon. Usually this will regenerate without long term issues. Two weeks is still early and I would probably give it more time before reoperating. The eye should be kept moist and taping should help. I do not believe there is any downside to waiting a little longer as long as the eye properly protected. Donald R. Nunn MD Plastic Surgeon.
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Droopy eyelid following midface lift
Hello and thank you for the question.
It is possible that in the process of the midface lift, a facial nerve motor branch injury was incurred, thus explaining the droopy lid. This is under the assumption that you did not undergo concomitant blepharoplasty as well, which can produce droopy eyelids in some cases.
Without examining you, it is difficult to make a determination as to why your surgeon wants to perform a re-operation in the short course. A lack of lower eyelid support...
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Surgery in the short term after nerve injury
I agree with the other posters - the likely issue is midface facial nerve branch injury, and this often improves spontaneously.
While it is difficult to know for sure, I think your surgeon's sudden concern and desire to operate may be due to the degree of tearing and eyelid droop. There is really nothing he can do operatively to repair tiny midface nerve branches, but he may be actually considering a temporary procedure to prevent your eye from remaining exposed, dry, and...
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Droopy eyelid after midface lift
I assume that you did not have a blepharoplasty (surgery to the lower lid) which could also cause the lower lid to droop. If all you had was a midface lift then the mostly likely cause was injury to the nerve going to the muscle that encircles the eye (orbicularis oculi). This nerve can be damaged particularly during a deep plane lift as the nerve enters this muscle on its deep surface. Hopefully the nerve was just stretched which has a better outcome than if the nerve was...
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+2
WIthout a personal consultation it is just speculation to discuss your situation.
Linda
You will need to weigh your confidence in your current surgeon to know the right thing to do.
There is no substitute for an in depth personal consultation. Occasionally the lay description of what is going on and what is actual going on are not the same.
If you were 100% confident in your surgeon, you would not be casting about for opinions from strangers. I am going to advise you to listen to your feelings. Please do not blindly follow the recommendations of this surgeon...
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Droopy Eye After Mid Face Lift
There are many reasons to wait and let the nerves regenerate and very few reasons to take surgical action. The main priority is to keep your eye from drying.
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Facelift
I would take the doctor’s advice and do as they recommend. They may have a suture around a nerve causing this problem or something else. If they are not a Board Certified Plastic Surgeon, I would involve one at this point. You want someone trained on complications, and one who has seen a few variations on the theme.
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Droopy tearing eye after Mid Facelift indicates nerve injury and surgical eyelid support is important
During a Mid Facelift the motor branches of the Facial Nerve that go to the eyelids may be injured. If so the eyelid becomes weak and droops and if tearing occurs it means the eye is not adequately protected from dryness.
Usually these nerve injuries recover as there is a double innervation to the eyelid.
However the nerve takes time to heal and some action must be taken to protect the eye during this time.
If taping does not work effectively, the lower eyelid can be supported...
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Droopy eyelid after facelift
At 15 days post Facelift surgery, you are still in the early post operative period. The incision will be quite tight and your tissues and skin are still swollen. It is not unusual for a lower eyelid to droop during this time. With eyelid support (taping) and protection of the eye with saline eye drops and eye ointment, this situation may well improve over the next several weeks. You may not require revisionary surgery on your eyelid. However, your surgeon...
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