Scleral Show 1 Weel After Blepharoplasty, Should I Wait to do Anything? (photo)

I have developed scleral show after several days of lower lid blepharoplasty. Now it is 8 days since the surgery. Anything I should do right now, or should I wait? Scleral show is not extreme, but my eyes are different.

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1 week post-op scleral show

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9 Doctor Answers | Asked by Ann in Washington DC

Doctor Answers (9)
Community Comments (0)

You may benefit from early canthoplasty

You lower lid tissue is loose and will not improve a lot. I would recommend canthoplasty and I would do it early than late to avoid scaring . Your before picture would be helpful.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Scleral show after surgery

Scleral show can develop after blepharoplasty. Massage and good lubrication often improves the situation, but I would discuss this with your doctor.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Management Of Scleral Show After Lower Blepharoplasty

Scleral show after a lower blepharoplasty can and will improve over time to some degree. Whether it will completely resolve itself is an issue of more time and healing. But there are several things that you can do now that can really help such as taping the corner of the affected eye upward and some massage. This will not only help in pulling up and stretching the lower eyelid in the right direction but will also assist with decreasing sensitivity and tearing. This is going to be an issue of... more

Scleral Show after surgery

Because of swelling and bruising, it is not unusual to see some early scleral show that resolves readily with time. 1st - address your concerns with your surgeon - he/she may discuss somoe options with you. I will often instruct my pateints to do what I call 'eyelid pushups' several times a day starting about 10 days after surgey and continuing for up to a month. While looking in the mirror, gently place a ring finger on the lower lid very close to the lashes. Without... more

Scleral show after blepharoplasty

Scleral show can resolve with time and it is too early to conclude that this is permanent. Many instances of scleral show go on to resolve as the healing progresses. If revision is required, this should not be performed until the wound has settled down and, at a minimum, no earlier than 6 months postoperatively.

You are absolutely right that you have an issue.

You do appear to have a pulled down right lower eyelid with scleral show. The doctors here are correct to point out that this appearance will improve with time. However, there are some steps your surgeon can take to attempt to improve the situation: taping, finger winking, and possible antiiflammatory injections such as kenalog and 5FU. If this malposition does not respond to intervention, then tincture of time can be very helpful. It is this reason that revisional... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Scleral Show 1 Week After Blepharoplasty

Most scleral show will resolve after healing process is complete i.e. 6 months. I recommend to be patient for the completion of healing process.

Scleral Show After Blepharoplasty

The first thing I would recommend is that you maintain close contact with your Surgeon. This early lid retraction may be related in part to swelling of the conjunctiva, or chemosis. Although this is disconcerting, it generally resolves without sequellae. Support for the lateral canthus via taping can be helpful, but time is likely to be the determining factor.

Scleral Show 1 Weel After Blepharoplasty

The results of your surgery are best judged 6 months after surgery, not eight days after. If you trusted your doctor to do your surgery, I would advise asking him/her these questions, rather than asking the doctors on this forum as he/she is a better judge of your results. I would also advise staying away from a mirror for the next couple of weeks. Good luck!