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Surgical Correction or Not to Correct Lagophthalmos from Brow Lift?

asked 5 months ago by precisa in Silver Spring, MD
Latest answer by Julio Garcia, MD
Question viewed 67 times
Tags: dry eyes, lagophthalmos

Fourteen months ago I had a brow lift (endotine implants). I now have lagothalmos in both eyes, (left eye 2mm short). I have mild upper lid asym. The "lago" caused chronic dry eye and I need ongoing treatment. My surgeon recommends lowering brows some to recover eye lid coverage. The more affected eye has slightly lower brow, not a correlation. My Opthamologist says surgery could make it worse. He recommends plugs or gold implants for affected eye. I have cosmetic and health concerns. Help!

7 answers to Surgical Correction or Not to Correct Lagophthalmos from Brow Lift?

+1

Correction of lagopthalmos

If there is enough skin to allow the eye to close at this time, then reversing the forehead lift will likely not help. If that is the case a gold weight to help the lid drop might be a better choice. If the eye that is dry is the one with the higher eyebrow, you can try Botox or Xeomin ton that side only to see if weakening the muscle will allow the lid to close.
Julio Garcia, MD

Las Vegas Plastic Surgeon
+1

Lagopthalmus Following Brow Lift

Pictures would be helpful, but I have reversed the brow lift in some patients to correct the lagopthalmos which is the inability to close the eye. Most of these patients also had an upper eyelid blepharoplasty by their surgeon at the same time. As mentioned by others Botox is an easier solution that may improve the dry eyes.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Dry Eyes after Brow Lift

Dry eyes are very common, with or without plastic surgery. Lagophtalmos, a condition where the upper eyelid has difficulty closing, has several potential treatments. A implant in the upper eyelid (gold, platinum, etc) can allow gravity to push the eyelid down a bit. Tear duct plugs also keep the eyes moist. For some patients, Botox may possibly be used to help lower the eyebrow and upper eyelid. Lastly, reversing a brow lift with further plastic surgery may help. However, only after a... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Correction of lagopthalmos

There are several ways to go about trying to correct this problem, altho I have never seen a case where an endo brow was able to left the lids that much without an aggressive upper lid blepharoplasty. In plastic surgery we like to take a ladder approach. Try the simple things first, you don't need an atom bomb to kill an ant. I would try botox in the forhead to relax the brow. If this works then you will need to go every 3-4 months for botox. The next styep... more
Steven Schuster, MD

Boca Raton Plastic Surgeon
+1

Lag after brow lift

This is a difficult problem and I suggest you consult with an eye plastic surgeon. A few solutions are: Botox to forehead to lower brows Correction of any existing lower eyelid retraction or lower lid laxity Punctal plugs as suggested by your eye MD
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Correcting Lagothalmous from brow lift surgery

I personally do not use endotine implants and I perform mainly endoscopic browlift procedures which do not typically have this post operative complication. With no photographs and no possibility of evaluation I will advise you to first follow the opthamologist suggestion and try plugs vs. any further surgery. Best regards!
Michael Elam, MD

Orange County Facial Plastic Surgeon
+1

Lagophthalmos after brow lift.

I would need to see you to determine if reversing the brow lift would work. See an experienced plastic surgeon and an ophthalmologist for 2 opinions on how to proceed.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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