Ptosis Repair - Over Corrected?

Hello. I am a female in early 50's and had right eye ptosis repair a week ago(no blepharoplasty). The eyelid is still swollen and reddened which is to be expected. I am very concerned the eyelid was over-corrected. It seems very high. In your experience, does the lid settle and lower a bit as the swelling resolves or raise even higher? I do not return to my surgeon for 3 months. If a revision is necessary, when is it usually done? Thank you for your help.

Doctor Answers (12)

EYELID WORRIES AFTER PTOSIS CORRECTION

+3

Go immediately and see your doctor.  It is the job of the doctor to see and assure you now, not in three months.  Be assertive.  It is your right and the doctors absolute duty to follow you closely and care for you.  That is part of the deal,  part of the fee.   I believe you will be fine and a little overcorrection is the norm.  In time the repair relaxes a little so overcorrection is the early goal.  You will be fin as healing progresses.   Go see you doc.  He should be delighted to see and care for YOU HIS PATIENT.   Post op care and reassurance are part of the surgeons responsibility.  Good luck.


Palo Alto Plastic Surgeon
5.0 out of 5 stars 25 reviews

Overcorrection?

+1

the overcorrection may be functional while the frontalis (forehead) muscle spasm that often accompanies ptosis resolves. but waiting three months is the mistake. if your surgeon feels it is overcorrected, simple massage into position is genrally effective. make an appt ASAP. good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

Degree of Overcorrection

+1

If the eyelid is mildly over-corrected, stretching the eyelid will help settle this overcorrection. If it is overcorrected significant, then a revision will likely be necessary. In either case, your surgeon will need to evaluate. If revision is needed, the earlier the better, as the tissues have not yet healed fully and scar formation is minimal.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 21 reviews

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Ptosis repair---overcorrected?

+1

Rose,

I do agree with the other physicians and that you should see your surgeon now rather than in 3 months.  Patients that undergo ptosis repair usually have an undercorrected look for the first week due to the swelling.  As the swelling subsides, the eyelid rests at a higher position. If you already appear to have an overcorrected look, you should see your surgeon to see what is possibly causing this. Sometimes your unoperated eye (the left eye) can become more droopy which results in your operated eye to appear more overcorrected.  Nevertheless, if there is any adjustment that can be done to the right eye, now is the time to have it done. 

Hope this helps and good luck.

Christopher I. Zoumalan, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 49 reviews

Over- corrected ptosis

+1

One week after surgery, the eyelid is usually lower due to swelling of the lid so if you are too high you should see your surgeon.  See them as soon as you can - you should not wait until your 3 month appointment especially if you have concerns.  You may also want to see the opinion of an oculoplastic surgeon if a different type of surgeon did the ptosis repair.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon
4.5 out of 5 stars 2 reviews

Ptosis Repair - Over Corrected?

+1
Dear Rose, At one week, over-corrected ptosis that resolves is rare. If a revision to lower the lid needs to be done, then now is the time. You should see your surgeon to get his opinion of what is going on. Perhaps your unoperated eye dropped due to something called Herring's Law making the operated eye seem to open, and that is the problem. Your surgeon will give you your best answer.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 13 reviews

Ptosisi repair

+1

If your eye looks a bit over corrected, it probably is. Go back and see your surgeon to review your results.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Ptosis Repair - Over Corrected?

+1

If it looks high 1 week after surgery, it likely is.  Go see your surgeon- depending on the way he/she did the correction, sometimes you can have a small procedure done now to lower it without having to go through surgery. Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
5.0 out of 5 stars 82 reviews

Overcorrected ptosis surgery

+1

The eyelid usually appears undercorrected a week after ptosis surgery because of swelling.  Your eyelid most likely will go higher as the swelling goes away. So you should see your doctor (or an oculoplastic surgeon) now, rather than later.

Dr Taban

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Please see your surgeon today!

+1

Rose

The upper eyelid should be under-corrected not over-correct at just a week out from surgery.  Swelling weighs the corrected eyelid down at this point (like gluing a dime to the eyelid).  As the swelling resolves the lid gradually comes to its final position.  If the eyelid is all ready over-corrected, it will be even worse as the swelling goes down.

There are typically two options here and it very much depends on what was done at surgery.  One option is to physically finger wink the eyelid.  This has the effect of stretching out the eyelid tissues.  This can be effective for small over-corrections.  However, if the eyelid is more than a little over-correct, I generally surgically adjust the eyelid in the office in my procedure room.  At this early date it is possible to inject a little local anesthesia and gently pull the healing tissues apart.  The sutures that are holding the eyelid up are cut and a new suture is placed to position the eyelid in a lower resting position and the eyelid is sutured closed.  This type of adjustment can be done up to 2 weeks after the surgery but the sooner the better. 

If your surgeon was not a fellowship trained oculoplastic surgeon but a general ophthalmologist, general plastic surgeon, or facial plastic surgeon, please be aware that they may or may not have enough training and experience to properly address this situation.  This type of over correct occurs and is not always avoidable.  My consents detail this possibility.   Please be open if your surgeon wants you to see a colleague for a second opinion.  Please call your doctor today.  Do not wait three months.  This is not going away on its own.  

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.