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Upper Eyelid Hollowness After Ptosis Repair

asked 10 months ago by jospang2
Latest answer by Jeffrey Schiller, MD
Question viewed 657 times
Tags: asymmetry, ptosis, hollow, options

Hi, I am 32 years old Asian female. Apr 2011, I had a surgery to repair ptosis. However, my left upper eyelid became too hollow, stiff and sunken. I am frustrated that my eyelid are hugely assymetrical. I am fearful of another surgery as it may damage muscle function. I've read that fillers don't work and the only solution is fat grafting. I'm looking up fat grafting to correct this, and I'd like to know, are oculoplastic surgeons or plastic surgeon better at this procedure?

4 answers to Upper Eyelid Hollowness After Ptosis Repair

+1

Ptosis repair should be done first

Levator advancement surgery to correct your ptosis will definitely bring the crease down and may correct the hollow area. If it is still hollow then a filler or fat transfer could be discussed. Find someone who does a LOT of ptosis repair (usually an oculoplastic surgeon) and who operates on a good number of Asian eyes. Good luck!
Jeffrey Schiller, MD

New York Oculoplastic Surgeon

www.beautifuleyes.com

+1

Ptosis repair int eh Asian upper eyelid

The left eyelid ptosis should be addressed, and unfortunately you will need further surgery on the levator muscle. The high crease, hollowness, etc. are by-products of the ptosis. Fat grafting, double eyelid surgery, etc., will not improve the situation. Because ptosis appears to be more common in Asians (my personal observation), surgeons that perform Asian eyelid surgeries, whether plastic surgeons or oculoplastic surgeons, will usually be experienced in ptosis repair.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+1

Need more information about upper eyelid ptosis repair

Hi, sorry to hear about your eyelid asymmetry. First, it appears that you have a levator dehiscence ptosis of the left upper eyelid as well as volume loss of the upper eyelid (superior sulcus) as evidenced by the eyelid position MRD1 1.0 and elevated eyelid crease. What did you left eye look prior to any surgery? Was the crease as high or indistinct? Were there multiple folds? Is there an element of congenital ptosis (present since birth?) A good history... more
Bobby S. Korn, MD, PhD

San Diego Oculoplastic Surgeon
+1

Eyelid Ptosis and Hollowness

You must have returned to the original surgeon, have you not? In your narrative, it would be helpful to know whether your initial ptosis was unilateral (one side only) or bilateral, and what your pre-surgical appearance was. Your MRD (marginal reflex distance, between pupil and upper lid margin) is ZERO on the left side. This is the primary asymmetry, and needs to be the focus of any procedure to restore symmetry and left upper lid function. Fat grafting is NOT part... more
Steve Laverson, MD

San Diego Plastic Surgeon

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