8 yrs post op Eyelid Surgery, I have a raised scar, hollowed eyelid, and high crease. Should I have revision for ptosis? (photo)
Doctor Answers 1
Continued Ptosis after Eyelid Surgery
In order to correct the high eyelid crease, fat transfer is usually the gold standard. In my experience, trying to inject fat into the lid after multiple procedures does not take very well because of all the scar tissue. In these instances, I prefer to release all of the scar tissue during the tarsolevator procedure. After this, fat can be directly and gently positioned in the upper eyelid prior to closing the incision. This is often very successful and looks very good. I would personally recommend avoiding any injectable filler or synthetic material in this region. This can lead to unpredictable scarring, and may actually worsen your lagophthalmos.