Ptosis Surgery Not a Success--or Something else Causing Eyelid Assymetry? (photo)

Help! I had ptosis surgery, but the lid was still too low, so the surgeon did revision surgery 20 days ago. While the lid is higher, I still detect a visible difference in the look of the eyes--the corrected eye still looks smaller. My surgeon is happy with the results but did point out during the last surgery that there was a visible difference in the lid shape. Was the 2nd surgery not a was success (still looks a bit lower)- or do I need another surgery to make the eyelids more symmetrical?

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ptosis asymmetry revision

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3 Doctor Answers | Asked by WickiNYC

Doctor Answers (3)
Community Comments (2)

Eyelid Asymmetry after Ptosis Repair

Continuing to correct ptosis with very subtle differences in lid height is likely to produce very little improvement. However, the possibility of making them worse is a factor to consider.

I Would Ensure You Understand The Risks Before Undergoing Additional Surgery

Wicki, While reviewing your pictures, I agree that your right eyelid is slightly lower than your left. In regards your results, I would qualify this is the acceptable result for ptosis surgery. I believe that the different shape of your lower lid is accentuating the different sizes of the appearance of your eyes. Your lower lid on the left is slightly lower than you right. In combination with your right lid being slightly lower, it give the... more

1-2 millimeter difference in eyelid height is natural and normal

Having a revision after ptosis surgery is not uncommon. Even the most experienced oculoplastic surgeons have to do revisions. And doing this over 20 years, I never take for granted that things that look great during surgery may still require revisions, whether it’s from healing, swelling or other factors. Most people or many people have subtle differences between the two eyes. It is normal for people to have a 1-2 millimeter difference in eyelid height. Most of the time, no one... more