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Dog Ears a Complication of Eyelid Surgery?

asked 1 year ago by Cadiz
Latest answer by Joseph A. Eviatar, MD
Question viewed 1,169 times
Tags: tear trough, bumps, dog ears, results, revision, uneven

It's been 8 weeks since surgery, white bumps on lids, uneven visible stitches and worst the pockets at edge of eye. Under eye bags and still the tear trough that I went through all this to get rid of. He's saying we won't know until 6 months is up. By then I'lll have lost the 6 months and need another 6 months to heal after corrective surgery that he now says is possible. Not anywhere have I heard of this complication. He readily had a name for the pockets at corner, dog ears. Future?

16 answers to Dog Ears a Complication of Eyelid Surgery?

After eyelid surgery it is possible to get dog ears

After eyelid surgery it is possible to get dog ears or an irregularity in the area of the incision. I usually recommend waiting 3 months and often massaging the incision will help. If it’s a significant irregularity sometimes we will do surgery but waiting 6 months is certainly not a bad thing to do. Often massaging the area of the incision will help. But, conservative treatment after surgery is often best because it allows the body to heal itself.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

www.ChelseaEye.com

"dog ears" after upper eyelid surgery

Without pictures, one cannot know if you truly have dog ears or not. Often times, I see patients who complain of this who really have brow ptosis or droopiness that needs to be corrected by a forehead lift.

Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon

Dog ears are uncommon after eyelid surgery

Whenever skin is excised, re-closing the incision line will generate a pucker, dart, or "dog ear". The longer the incision line is made, the gentler the tapering of the skin, and the littler the dog ear. In other words, dog ears are less common with long, generous incision line planning; however, the trade off is longer scars! Surgeons balance these plusses and minuses by trying to split the difference, leaving the shortest possible scar and ideally no dog ear, or a tiny one... more

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon

www.nayakplasticsurgery.com

After Eye Lid lift the patients part of the bargain is to be patient. Period.

After surgery you must be patient. At 8 weeks you have far to go. When you enter into a surgecal procedure your part of the bargain is patience. Wait the 6 months and much that worries you will go. If you need a tiny touch up, I am sure you surgeon will accommodate. Do not have any procedure till the 6 months, at the very, least is up. You will be fine. Good luck.

George Commons, MD
Palo Alto Plastic Surgeon

Eyelid Surgery / Blepharoplasty

Without seeing before and after pictures or seeing you in person, it is impossible to give you specific advice or guidance. If there is still loose skin, then you may need a revision. 8 weeks after surgery is too early for a revision as the swelling likely is not completely resolved and the tissues have not completely settled. I would agree that 6 months is an appropriate amount of time to wait for a revision. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Dog Ears a Complication of Eyelid Surgery?

At 8 weeks, if you still have dog ears, I would correct them if you were my patient. The tear trough area can be treated with fillers- either your own fat or juvederm. White bumps- milia- are easily corrected during your office visit, much like a white head is extracted. Visit your surgeon and see if he/she will listen to your requests for earlier intervention!

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Eyelid surgey

Small round white bumps are usually milia and they can be unroofed gently with a needle. The corners if you have dog ears may settle as the swelling subsides. But you shoudl wait sevearl months before revision.

Steven Wallach, MD
Manhattan Plastic Surgeon

Dog ears after upper eyelid surgery

The healing process may take 6-9 months and 8 weeks after surgery, the wound is healing and difficult to make a judgement on the outcome. Small round white bumps may be what we call millia. They basically white cysts that can be easily removed with a needle. Follow up with your surgeon.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Blepharoplasty Healing

I think healing after a blepharoplasty can take months but usually things are visibly improved by a month or so. Excess skin at the corners can sometimes occur, but it is fairly simple to correct in most cases.

Jeff Scott, MD
Everett Plastic Surgeon

Swelling is Not Unusual 8 Weeks Aftyer Blepharoplasty

Swelling after lower eyelid Blepharoplasty can take several months to settle down, especially in the setting of significant lower lid laxity or orbital fat removal. When a subciliary Blepharoplasty is performed, the area of resuspension of the orbicularis oculi muscle can lead to an area of swelling that lasts for weeks and even months. 8 weeks is far too early to consider revision, so try your best to keep your lines of communication open with your Surgeon and be patient. more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Be patient with eyelid surgery

Eyelid surgery sometimes takes many months to completely heal. During that time, it can look like there is too much fullness in the lower lids, and "dog ears" can persist. These issues almost always go away as the healing process is complete, but be patient, it can take a long time in some individuals. Andrew Campbell, M.D. Board Certified Facial Plastic Surgeon

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon

www.campbellplastics.com

It is absolutely true that many things get better with time.

Dear Cadiz The other surgeons here are absolutely accurate that more time is very helpful. In reality there is no such thing as a perfect surgical result (no matter what we surgeon think to ourselves). The surgeon does the surgery and you do the healing. Unfortunately healing and patience is a necessary ingredient in this process. Will you need surgical revision?-Sure this is common. If you have some cysts or even a "dog ear" these are things that... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Waiting out healing after eyelid surgery

Your surgeon is right in that it is best to wait out healing, six months or so before considering that a revision is necessary. Healing can be a time of frustration waiting for the anticipated result. White spots or milia are common. Tags or 'dog ears' don't persist very often. Your doctor's suggestion of the possible revision indicates that he is willing to stand with you if the need is there. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Dog Ears After Eyelid Surgery

In general, waiting a few more months will help determine how your eyelids will appear on a more permanent basis. The healing process after eyelid surgery often takes about six months or so, and having another procedure performed too soon can lead to even more cosmetic concerns and complications. Regarding the dog ears, or extra skin that may not lay properly, especially at the end of an incision - if this needs to be resolved with an additional procedure, the procedure is usually very... more

Jen Yuan Chow, MD
Pasadena Facial Plastic Surgeon

Eyelid Surgery Recovery

Wait another 2 months prior to evaluating your cosmetic procedure. After this time has passed, I would suggest that you revisit your surgeon for another evaluation. If you are still concerned, seek another opinion. Best wishes!

Michael Sullivan, MD
Columbus Facial Plastic Surgeon

Eyelid surgery complications

Cadiz, It is fair for your physician to say that it will be 6 months before your final result becomes apparent. I know this is difficult, but many changes will likely occur before then, and a premature revision would be a disservice to you. The white bumps you speak of sound like Milia. A Milium (plural milia), also called a milk spot or an oil seed, is a keratin-filled cyst that can appear just under the epidermis. Milia are commonly associated with newborn... more