Ptosis in Left Eye After Canthopexy

I had a left eye orbital fracture 5 years ago. I had that repaired and then about 5 months ago I had a scar revision, fat graft for upper cheek hollowness, and a canthopexy procedure to fix mild lower eyelid sag. After the canthopexy I feel like my left eye aperture is smaller compared to my right eye either by over correction or by ptosis or by both. Is ptosis correction surgery correct for me? It doesn't affect my vision but does bother me aesthetically. I'm a 30 YO male. Thank you.

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8 Doctor Answers | Asked by Lover in Virginia in Northern Virginia

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Ptosis in Left Eye After Canthopexy

It certainly does seem from the picture that you posted that you do have ptosis, however the cause of the ptosis needs to be ascertained. If you are bothered by the ptosis, it certainly is reasonable to seek out treatment. You should consult a surgeon who can identify the cause of your ptosis and the best way to treat it.

Sam Goldberger, MD

12 reviews

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

You look good so maybe don't mess around with more surgery

It is very possible that your mild ptosis is related to the old orbit fracture and you had perhaps unrecognized enophthalmous (eye sunken in) which is very common with a lot of orbital floor fractures. Correcting some of the other problems now leaves this to be observed as a stand alone issue? I can't see how a canthopexy could give you ptosis but it could make the opening a bit smaller if your bottom eye lid was lower before the surgery.

Ptosis or pseudoptosis

First, you need to find out what's causing the ptosis. It may be through ptosis, for which ptosis surgery (using posterior approach in your case given small amount of ptosis) would be the answer. However, you may have pseudoptosis, from sunken eye secondary to your old fracture. I recommend consult with an oculoplastic surgeon. Dr Taban

This is not a functional issue, it is an aesthetic issue.

Dear Lover The upper eyelid is tethered to the lateral canthal angle. When a canthoplasty is performed, generally to some degree, the upper eyelid in its lateral aspect (and sometimes across its width) will be pulled down with the lateral canthal angle. That is what is going on with your left eyelids. Yes you do have about 1 mm of left upper eyelid ptosis. This is a small degree of upper eyelid ptosis. As you can tell, some surgeons are not comfortable in... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

You do not need ptosis repair

You have great result since your left eye looks very normal. Your let eye brow is higher than right side and this can be congenital or your eye brow compensating for mild left eye ptosis. Leave your eye alone ...

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Ptosis in Left Eye After Canthopexy

More often than not, patient discover certain pre-existing asymmetry in their facial structures that they did not notice before the operation. This is usually due the existing facial asymmetry that exist in every person but it may be minimal and not noticeable or it may be very obvious. Looking at your picture, it seems that you are no exception.The right side of your face is basically smaller than the right side. Your right eyebrow is lower than the left and you have wider upper eyelid... more

Ptosis or pseudoptosis?

Your current symptoms likely relate to either what you describe as an orbital fracture, or to a zygomatic fracture. If this was associated with a contour change in the cheek, then you more likely sustained a zygomatic fracture. This may result in endopthalmos, pseudoptosis, and lower lid malposition. Any subsequent soft tissue surgery represents camouflage for what is essentially a problem with the bony orbit. I would be wary of treating the minimal ptosis that you... more

Eyelid Asymmetry After Orbital Fracture Repair

It is difficult to evaluate your case without an examination and with just one photo. Often after orbital fractures, the eye can sink into the socket, causing eyelid asymmetry. This could be your underlying problem. The large light reflexes on your pupils make it somewhat difficult to determine if you have ptosis of your left upper lid, but if there is any ptosis it is very minor. I think that you have relatively more skin in the left upper lid and that a cosmetic... more