Revisional surgery for brow lift and eyelids worth it?

I'd like to see pictures of "good" revisional--or corrective--surgery for a botched eyelid surgery and brow lift. It's only been about a year since I had my procedure, and not only don't I see that much improvement, but I swear my face is uneven. Is revisional surgery worth it--and what can I ask my doctor or let him know ahead of time to ensure I don't wind up with the same results? (I'm not using my original doctor).

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10 answers to “Revisional surgery for brow lift and...”

A: Maybe

Brent Moelleken, MD

Revisional eyelid surgery is complex and often requires canthal reconstructive, cheeklift or midfacial advancement techniques, which are highly specialized. During your consultations to see if a revision is necessary or recommended, it is helpful to see if the doctor has published articles on these topics,... more

A: Revision Browlift and Eyelids

Samson Lee, MD

When you say you had eyelid surgery I'm assuming you had upper eyelid surgery. Often people who have browlifts are disappointed with the results. In order to fully achieve a noticeable browlift all of the connecting ligaments and muscles of the brow must be released appropriately. If you had any asymmetry... more

A: You are absolutely correct! Every face is uneven.

Otto Joseph Placik, MD

I am sorry that you are disappointed with your results. I think I speak for all my colleagues when I say that we strive to achieve excellent results with satisfied patients. It is a matter of pride as well as essential to being successful. That is why all the previous responses suggest that you go... more

A: Complex anatomy and situation...

S. Pasquale Maggi, MD

I understand that you have decided to not have your original surgeon perform any revision procedure.  In this case in order to get the best care, and advice, I suggest you obtain from your prior physician a set of the before and after pictures.  If you can also get a copy of the operative... more

A: It gets alot harder the second time around.

Manish H. Shah, MD

I am sorry to hear of your disappointment.  I will tell you that the key to optimizing surgery gone wrong lies in the appropriate preop evaluation by your next surgeon.  As I understand it, you had a browlift and a blepharoplasty.  It would be helpful to know if you had your upper or lower... more

A: Look at the anatomy carefully

Robin T.W. Yuan, MD

There is so much variation in brow and eyelid surgery, as well as in a patient's normal anatomy, that it is hard to answer your question specifically. Most people's faces, and especially eyes, are asymmetric. Surgery itself is not an exact endeavor. If your original surgeon is reputable and skilled, you are... more

A: Communication and Planning are Critical

Athleo Louis Cambre, MD

Unfortunately, complications and unsatisfactory results are a part of cosmetic surgery, as much as we surgeons try diligently to avoid them.  Occasionally, this leads to a loss of confidence on the part of the patient towards the original surgeon, which is natural as well.  The subsequent treating... more

A: Always possible

Steven Wallach, MD

It is importnan to discuss your goals with your surgeon. Also it is helpful for the new surgeon to know what procedures you had performed.  Revisional surgery can be toughter because sometimes you have to work within the confines of the previous results.

A: A tough situation

Talmage J. Raine, MD

I assume you have compared your pre and post operative photos to assess the amount of assymetry.  Conferring with another doctor or two is not a bad idea.  Realistic expectations on the amount of improvement are necessary to ultimately get an outcome that everyone wants.  I have done revisional... more

A: Ocular Plastic Surgeons Specialize in Repair of Difficult Eyelid and Brow Revisions

Mark Berkowitz, MD

I am sorry to learn of the difficulty you are experiencing after your Brow lift and Blepharoplasty. It is always best if you first discuss your feelings with the surgeon who performed the procedure. I agree with Dr. Maggi that repair involves intricate anatomy. Ocular Plastic surgeons are known for their... more

Comments

imklare
2 posts
10 Dec 2008

I wish I lived in Colorado . I would see Dr. Shah ,he impressed me with his honesty Im an RN for over 40 yrs he seems to be someone I could trust , he knows his limitations . I like that .I have a few issues and not enough time today to go into post eye and face lift . Thank you for being honest .Maybe Ill make it to Colorado someday I thought you were from Englewood Cal

sad in sacto
1 post
23 Jul 2009

I had a brow lift when I was 29. I wanted to change the angle of my brows slightly. I wanted the outside raised, but instead the inner points were raised and are crooked. There was nerve damage so the top of my head is numb. The scar is about 1/8 of an inch wide. My hair is dark and it takes a lot of effort everyday to hide scar, but people ask me about it all the time. The doctor also cut the muscles between my brows. he did not tell me he was going to do this. He said "now you won't get those vertical lines between you brows." No vertical lines, but deep horizontal lines with a bulge in the center. My eyebrows where the scar tissue is are balding. My question is: can I get the scar on my head fixed without cutting into the muscle? can the scar tissue under my brows be removed and if so will my brows grow back?

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