Should I worry about a cascade of consequences like brow or eyelid "margin" asymmetry due to work done? (photo)

Upper Blepharoplasty Asymmetry: Right Eye Medial Droop & A-Frame High Crease; Left Eyelid Lots of Skin & Low Crease. Male 45 yrs 10 months ago bilateral bleph & thru the same eyelid incisions had endotines inserted & anchored over eye brows. L. endotine still undissolved. R. eyelid skin required more removal, R. brow/eye still bit numb; mild tension when R. eye gazes upper R. I still get nausea looking there more than 3 seconds. Need revision. Full Brow lift? Fat transfer? Steroid shots to incision?  Thanks

Doctor Answers (9)

Upper eyelid surgery and problems still at 10 months

+2

Thank you for your question.  It is unusual to have all the issues listed in your question.  I myself do not combine multiple procedures through the upper eyelid incisions as to not complicate an already delicate procedure.  I would recommend that you see someone who is specialized in complicated eyelid problems.  Seek a qualified board-certified occulo-plastic surgeon, locally.  Best of luck!  Dr. Marc DuPere, board-certified Toronto plastic surgeon, with an office in Richmond Hill, 416.929.9800.


Toronto Plastic Surgeon
5.0 out of 5 stars 36 reviews

Should I worry about a cascade of consequences like brow or eyelid "margin" asymmetry due to work done? (photo)

+1

It sounds like you need a full evaluation by an Oculoplastic surgeon.  It is difficult to give you any recommendations with everything that you are describing. 

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 13 reviews

Complicated Problems Following Blepharoplasty and Brow Lift

+1

Hi Kent,

In our area I would recommend seeing one of the following very fine oculoplastic surgeons:  Robert Goldberg @ UCLA; Jonathan Hoenig (Beverly Hills or Encino); or Steven Dresner (Santa Monica).  Best,

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

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Revisional eyelid surgery

+1

You have a complicated problem requiring careful in person exam to evaluate the problem(s) and go over possible treatment options. See an oculoplastic surgeon.

Mehryar (Ray) Taban, MD, FACS
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Post op asymmetry after brow lift/blepharoplasty

+1

Thanks for the photos. You described several issues, some of which requires face to face evaluation in order to sort out what's source of the problem. The endotine should dissolve and may take up to one year. The numbness may not return completely since it's 10 months post surgery. If you need revision I recommend wait at least one year before proceeding. It's critical prior to any revision surgery, the etiology or source of the asymmetry is diagnosis so proper corrective surgery can resolve your issues. Talk with your surgeon and consider getting a second opinion to confirm the diagnosis and treatment plan.

Best Wishes,

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
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Eyelid asymmetry

+1

The endotine will dissolve over time and the numbness may or may not get better. hard to say what is going on with the one eye without an exam in person.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Eyelid Surgery Issues

+1

There are a multitude of issues in this postoperative description, some of which may improve spontaneously (Endotime absorption, numbness, etc.). The only way to sort through your concerns is via an in-person consultation and examination.  Before seeking another consultation, I urge you to  fully discuss your concerns with your operating Surgeon.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
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Eyelid problems post op

+1

This is really a hard question to answer in the forum without a physical examination.  Possibly there are minor things that can be done to help you achieve improved symmetry.  If your brows are asymmetric then possibly an internal brow pexy may be benficial instead of a full brow lift.  I was never a big fan of the endotine,  they tend to be palpable for a long time.  I would avoid steroid injections to the eyelids as they can cause more problems.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
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Eye asymmetry after surgery.

+1

Eye asymmetry after surgery needs to be evaluated in person for a proper answer. Endotine will dissolve eventually.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.