Eyelid Surgery: Q&A
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Upper Lower Bleph/now Have Scleral Show & Asymmetry Uppers? (photo)
Had upper/lower bleph 3/5/12. Since swelling subsided, I have white under my irises (scleral show?), noticible scars & left upper lid still touches my lash line. The dr. wants to do a revision with no general anes. just local. He says the under eye is an easy fix. Is this true? What is involved? He's not an occuloplastic surgeon but head of plastic sx at a hospital & board cert & not charging me. Guess some money back & going to a specialist is out of the question.
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5 Doctor Answers |
Asked by
Jane19450
in Schwenksville, PA
+2
Revision blepharoplasty
Correction of minor asymmetry of the upper lid under local sounds fine, but revision of the lower lid for scleral show we feel is more difficult than your original procedure and the local 'easy fix' might be a challenge for you and the surgeon. Saving money is nice, but shortcuts taken, especially when things have taken a wrong turn might be regretted. Bit of a red flag here.
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Considerations..
As a cosmetic oculofacial plastic surgeon, I will tell you that the appearance that you have is a common reason for people to come to me from all over the world. Although for many plastic surgeons, the appearance of having the eyes as open as yours is considered a desirable look, judging by your pre-operative photo I would suspect you would prefer more of the original shape of your eyes. With a limited assessment based on your photos alone, I don’t believe that your procedure would be...
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Be patient
Lower lid retraction is one of the more common complications of lower blepharoplasty, and as indicated by the other experts in this forum, it certainly is NOT an easy fix. Having said that, I would recommend against early revision. Time and massage will often improve the lower eyelid position.
In mild to moderate cases [your situation], where the health of the eye is not in question, I recommend waiting for up to a full year to allow all the scar evolution to take place. In the meantime,...
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You may want to get several opinions from other experts if you are uneasy about the plan.
I do recommend first going back to the doctor who did your procedure. You may want to get several opinions from other experts if you are uneasy about the plan.
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Scleral Show
I agree with Dr. Johnson of Chicago. Let's be honest, scleral show & asymmetry repair after your 3-5-12 four eyelid blepharoplasty is no "easy fix." However, there is no reason to become angry, just obtain a second opinion from an experienced Occuloplastic or Facial Plastic Surgeon. You will likely be best served by careful consultation.
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