Eyelid Surgery: Q&A
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2 Weeks Post Blepharoplasty Scleral Show, Used Steri-strips to Tape the Eye, but Its Still Irritated and Teary, Options? (photo)
If the eye is taped correctly ( I am not sure it is), how often should I re-tape , because steri-strips are pretty tough? Anything I could do to reduce tearing and irritation? I am using a lubricant eye gel. When should I consider a revision, and could you please recommend a good oculoplastic surgeon in Washington DC for such a revision (lower lid).
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7 Doctor Answers |
Asked by
Ann in Washington DC
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Be patient
Dear Ann
It is way to early after surgery for you to worry about asymmetry. There is significant swelling in the first two weeks after surgery, and sometimes even longer than that. Furthermore, surgical scar will evolve and soften over a period of months. I would not consider revision surgery on anyone until the at least 6 month post operative visit, and sometimes even longer than that. Scars can mature for up to a year after surgery. Please be patient with your body and let it heal...
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Keep taping. Be patient. Stay in touch with your doctor.
In most cases this problem will resolve in a fairly short time (a few weeks or months). Stay in contact with your surgeon to help manage the problem.
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Scleral Show after Blepharoplasty
Ectropion, or lower lid pulling away from the eye, in general is not uncommon and usually resolves on its own. Because yours is mild I suspect this will be the case but it will take several weeks to months to resolve in most. It is often caused by the initial edema which adds weight to the lower lid. The edema can become firm (induration) and this will be improved with massage and taping at night, if severe during the day too. I usually use paper tape as "less rough than steri...
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Scleral show
Usually mild sclearal show improves with time. Taping and massage and good lubrication usually does the trick. I would suggest maintaining regular visits with your surgeon to keep a watchful eye on this.
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Wait to You See the White of Their Eyes?!
With the tape your scleral show appears to be minimal. You are only 2 weeks out from surgery. Usually scleral show will improve over 8-12 weeks if not before. Both of your upper and lower lids appear irritated: allergies? irritation secondary to steri strip adhesive? With moderate scleral show recommendations of tapping the eyelids with ointment at night to prevent drying of the cornea would be prudent.
Dr. ES
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I would recommend giving this a chance to heal!
I know you do not feel like this will ever get better, but it is amazing how things can improve with a little time. Generally if you do need revisional surgery, this decision should be make 6 to 12 months after the original surgery. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic website that can help you find oculoplastic surgeons in your area (asoprs dot org). Please understand that post aesthetic lower eyelid surgery is...
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2 Weeks Post Blepharoplasty Scleral Show, Used Steri-strips to Tape the Eye, but Its Still Irritated and Teary, Options?
Photo demonstrates the correct taping but why are you not seeing your chosen plastic surgeon? Allow at least 4 to 6 months for relaxation of the tissues before thinking about a revision.
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