Eyelid Surgery: Q&A

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Ptosis Revision on Left Eyelid? (photo)

I had ptosis revision in may on my left eyelid. I'm two months post op and my eyelid looks more droopy than before my first two surgeries. My surgeon wants to make adjustments to the eyelid but i'm afraid of another failed surgery. My surgeon said he would have to overcorrect my eyelid in order for it not to droop. Should I get another procedure done or wait a few more months before considering an adjustment? I attach a few pictures of how my eyelid looks as of today. This is very depressing:(

4 Doctor Answers | Asked by EYES29 in New York
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Ptosis

Lots of different clinical photos will aid in the future care of your eyelid ptosis. Best to see a Facial Cosmetic Surgeon who performs a lot of eyelid surgery.
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Ptosis Revision on Left Eyelid?

Yes thanks for the series of posted photos showing the defect in different phases of gaze. Maybe obtain additional in person opinions in the course you should choose.
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Some oculoplastic surgeons are more gifted at ptosis surgery than others.

I would recommend getting several opinions regarding your upper eyelid. Unfortunately, the eyelid is not like a car engine. The more you work on the car engine the better it runs. With eyelids, the more you tinker with the tissues, the worse things get. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on its website that can help you a highly qualified surgeon in your area.

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Congenital Ptosis

Based on your photos, it seems that you have congenital ptosis. This occurs because of malformation of the levator palpebrae muscle, the more effective of the two eyelid muscle elevators). If the level of the function of this muscle is very low, the surgery can be quite difficult to achieve good eyelid symmetry, without causing potential eyelid closure problems. Your last photo illustrates this issue: on downgaze, the left eyelid does not lower as well as the normal right eye.... more
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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.

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