Occulofacial Surgeons: Revision Eye Shape Following Too Strong Lateral Pull Temple Lift: Possible?

asked 5 months ago by thankyouverymuchforhelping
Latest answer by A.J. Amadi, MD
Question viewed 162 times
Tags: lengthen, options, overcorrection, temples

Sept.2010 a temple lift was done with too strong lateral pull: the lashline moved too high in the eye, certainly the lateral part. Surgeon then attempted July 2011 to release temple skin + subperiosteal release canthus. My eyes lost horizontal length without further improvement. I'm left with slanted catlike 'horizontally shortened' eyes, lashline high in the eye particularly laterally. I get a lot of comments daily from strangers;what technical possibilities are there still to improve?Thankyou!

9 answers to Occulofacial Surgeons: Revision Eye Shape Following Too Strong Lateral Pull Temple Lift: Possible?

The canthal angle can be addressed

There are many different positions to the canthal angle, but in most patients, it is slightly [a mm] higher than the inside corner of the eye [medial canthus]. When this relationship is disrupted, most patients end up being unhappy with their appearance, because they no longer "look like myself". Revision with canthopexy and canthoplasty is possible, but is unpredictable in its success, as scarring can alter the late postoperative result even when we achieve success "on... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Oculofacial Surgeons: Revision Eye Shape Following Too Strong Lateral Pull Temple Lift: Possible?

As others have suggested, it is possible to have revisional surgery. You should see an experienced Oculoplastic surgeon for a personal consultation.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Lateral canthus

From your description of the corrective procedure I do not know exactly what was done at the lateral canthal area.There are procedures that can reposition the lateral canthal angle. A proper and full determination can only be made by examining the area around your eyes.

Perry F. Garber, MD
New York Oculoplastic Surgeon

Revisional canthoplasty

That is a unfortunate result. Reconstructive revisional surgery may be possible. It is difficult to say without any photos or examination. See an oculoplastic surgeon. Dr Taban

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Photos would be helpful.

Unfortunately this deformity is epidemic. Plastic surgeons sit through fancy lectures involving trans-temple mid face lifts that include various forms of mid face degloving. They go home and try these procedures without the benefit of understanding all of the nuances. You are describing a complex destabilization of the lateral canthal angles as a result of your Sept 2010 surgeries. Although you have described important details, these situations are often more complex... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Occulofacial Surgeons

Please let us know if your surgeon was a general plastic surgeon or an occuloplastic surgeon (ophthalmologist) or Facial Plastic Surgeon (Ear, Nose and Throat) or Dermatologist? This type of result is due to lack of experience and not the surgeons specific specialty as suggested by the previous commentator. Please seek second opinion in person with a qualified and experienced surgeon specializing in facial plastic surgery regardless of board certification.

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

www.bostoncosmeticsurgerycenter.com

Shortened palpebral fissures( small narrowed eyes after surgery)

Your concern is very prevalent these days. recently I have seen an increase in the number of patients coming to my office for secondary correction with identical complaints. Although it is impossible to offer a diagnosis without pictures and preferably an in person consultation, I can nearly guarantee that you have a disrupted lateral canthus. the side of the eyelids attach to eachother (upper and lower lids) and to the inside of the bony orbit ( the eye socket). It... more

Rian Maercks, MD
Miami Plastic Surgeon

Eyelid revision

It's difficult to tell what is going on from your description - If you could post photos that would be helpful. Also I would suggest an in person consultation from another oculoplastic surgeon. You can even ask your surgeon for a referral for a second opinion for someone he or she trusts.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon

www.orlandoeyeopener.com

Need photograph to help determine eyelid problem

From your description it is not possible to determine what exactly is going on. Please submit a photograph to this forum. You will be more likely to get some suggestions.