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W. Tracy Hankins, MD answers: Problems post Endotine periorbital lift

I had an endotine brow and cheek lift (through the mouth incision) several years ago. I am 56, and had had a standard face and brow lift in my late forties. In hopes of reducing nasolabial folds, the SOOF lift through the mouth was performed, with good results; the endotine brow lift was outstanding, resulting in a beautiful, natural-looking eyebrow position.

Although the procedure was helpful, I asked if the nasolabial folds could be further improved upon, and a periorbital entrance with blepharoplasty was recommended. Pre-op, the office nurse told me swelling would be down in three weeks. The day of surgery, the surgeon said he could also lift the corners of the eye with the procedure. I was uneasy about the relative newness of Endotine, but had had such a good result with the previous surgery that I went ahead.

Post-op, my eyes had very different shapes; the scars, especially on the more slanted eye, was visible and much wider than the other side. I was concerned that this eye's sutures were opening, but the surgeon, at three days post-op, was unconcerned. A week later, he said some skin grafting might eventually improve the appearance, and that I knew that I was at a higher risk for complications, because I'd had so many prior surgeries. Should this not have been discussed pre-op? If it had, I wouldn't have had the procedures.

One year later, the eyes are still somewhat uneven, but can be disguised with make-up. The tight eye side's upper cheek bone still hurts to the touch, and the cheeks are still somewhat asymmetrical. I have, too late, read that many surgeons no longer use the periorbital entrance, due to the long healing and sorts of complications I have experienced. I have spent nearly $4,000 on fillers trying to improve the lower lid hollowness and cheek asymmetry.

I have been left with hollow temples, pulled down upper lids, and hollow eyes. What can I do at this point? I would appreciate your opinions. Thank you.


W. Tracy Hankins, MD
1 month ago

 The lower eyelid can be one of the most challenging areas to deal with in plastic surgery especially if complications occur.  However, there are excellent surgeons in many areas of the country who could help you.  I would suggest including your pictures, this may enhance the level of advice we are able to provide.

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