I Had Upper Eyelid Retraction Surgery 3 Weeks Ago and My Eye Now Appears Droopy or Open Halfway: Is This Normal?

Upper eyelid recession surgery for upper eyelid retraction for thyroid eye disease is a very tough deal.  It is essential to over-correct the eyelid during surgery anticipating that with healing there will be contraction of the tissues.  Not so occasionally the surgery can actually bottom out the eyelid leading to an over correction.  Generally over correction at 3 weeks post-operative is a good sign.  If you were perfect today, then by 3 months post operative you would heal with the eyes too open.  Hang in there, waiting is tough.

It is way to early after surgery for you to worry about asymmetry. There is significant swelling in the few weeks after surgery, and sometimes even longer than that. Furthermore, surgical scar will evolve and soften over a period of months. I would not consider revision surgery on anyone until the 3 month post operative visit, and sometimes even longer than that.

Having said that, it is not at all unusual for Thyroid patients that have undergone upper eyelid retraction repair to need revision surgery. Upper lid retraction repair can be quite unreliable in its results, even in the most experienced and talented surgeons hands. Sometimes the patient becomes too droopy, and other times still too retracted. This procedure is notoriously difficult to get achieve symmetry. Be patient with your body has it heals, and be prepared for a possible need for revision.

It is difficult to overcorrect eyelid retraction in thyroid patients, so noticing the eyelid as droopy soon after is overall a good sign. I would give it at least 4 to 6 weeks to allow for swelling and bruising to dissipate before determining the outcome.

Like my other colleagues answering this question I too feel you are probably still going through the early stages of healing and swelling.  This procedure is a little different than typical blepharoplasty surgery so your muscles may be still reacting to the procedure.  Be patient, take pictures and expect that your imporvement is just a few moments away, but maybe not tomorrow.

 

 

Eyelid surgery is "surgery of millimeters."  Therefore, a small amount of residual lid swelling will affect the overall look.  So, Cosmetic Surgeons recommend proper healing (3-6 months) before jumping back into surgery.