I Have Mild Ectropion on my Rt Lower Lid Due to a Blepharoplasty Yrs Ago, Can It B Fixed?

asked 6 months ago by mely in des moines ia
Latest answer by Kenneth D. Steinsapir, MD
Question viewed 199 times
Tags: lower eyelids, ectropion

9yrs ago,had quadblepharoplasty n canthopexy. rt. lower lid have mild ectropion due to surgeon being overly agressive. Dr tried 2 fix it twice by resecting skin, improved a little but, not enough. Was quite afraid 2 undergo another procedure. Now I feel is x for another attempt to fix this sclera show, is there a possibility another surgeon can fix this ectropion by another canthopexy?

5 answers to I Have Mild Ectropion on my Rt Lower Lid Due to a Blepharoplasty Yrs Ago, Can It B Fixed?

This is not ectropion.

Hi Mely This is vertical inadequacy of the lower eyelid. Lack of support at the orbital rim also contributes to this issue. It appears that your prior surgeon attempted to correct the situation by tightening the lower eyelid. This simply forces the lower eyelid under the curvature of the eye making the situation worse. I have developed a surgery to repair these situations using a hand carved orbital rim implant made of ePTFE. The cheek is vertically lifted... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower lid retraction after blepharoplasty

The picture you've posted demonstrates moderate lower lid retraction with scleral show due to over resection of lower lid skin and subsequent wound contraction. I'm sure you've been instructed to perform twice daily cheeck massages up until now. If not, they do help. Due to lack of adequate skin and moderate contraction, I believe the best approach would be a mid-face lift that would give you some upper check and lower lid skin laxity and soft tissue support which should improve... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

www.bostoncosmeticsurgerycenter.com

Repair of lower lid retraction after blepharoplasty

Mely, You appear to have lower lid retraction. Skin resection is not the treatment for this condition. Possible treatments may include lateral canthal tightening, mid face lifting, skin grafting, and grafting to the inside portion of the eyelid. You need to be evaluated by an oculoplastic surgeon (a specialist in eyelid surgery). The best way to find one in your area is to look on the website for the American Society of Ophthalmic Plastic and Reconstructive... more

Michael McCracken, MD
Boulder Oculoplastic Surgeon

Ectropion or scleral show after blepharoplasty.

Ectropion or scleral show after blepharoplasty especially after attempted repair is a difficult procedure. This is especially truee when the eyeballs "stick out". See an ophthalmic plastic surgeon with a great deal of experience.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Lower eyelid lag or malposition after surgery

Even though the problem may have started with removing too much eyelid skin and may have been treatable by just adding skin in the past I doubt that will work now. After so many years in a lower than normal position the inner most layer of the eyelid will have shrunk as well. You will most likely therefore need a spacer of mucosa or dermal matrix on the inner most layer in addition to skin elevation techniques (midface lift, canthopexy...) and/or skin grafting. I hope you realize that... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Ask a question

Get Free Email Updates