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3 Weeks Post Bleph Left Eye Has Mild Ptosis - Wait or Revise?
3 Weeks Post Bleph Left Eye Has Mild Ptosis Which I Had Before Bleph. Wait or Revise? Is it too early? I noticed ptosis at 1 to 2 weeks. I have exercised eye but nothing has changed at 3 weeks. Suggestions?
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18 Doctor Answers |
Asked by
33803
in Tampa, FL
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Better to wait to see if ptosis resolves
In general it is best to wait several months to see if the ptosis is secondary to a structural change or post operative swelling. Very often the swelling can cause temprary ptosis which is self limited. However if the ptosis was not present for the first week following surgery, it may be adviseable for you recontact your surgeon to see if any further assessement is necessary.
New York Oculoplastic Surgeon
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Ptosis and Eyelid Surgery
Was your ptosis corrected during the surgical procedure? Please check with your surgeon to determine this if you are not certain. I would suggest that you have an evaluation with your surgeon to make sure that you are healing properly and according to plan.
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With a mild ptosis, you always want to wait and see if it heals.
We recommend waiting because it can get better if it’s due to bruising or trauma. We usually wait a minimum of 3 months if it’s a mild ptosis. If it’s a severe ptosis, that’s a different story. But with a mild ptosis, you always want to wait and see if it heals.
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Ptosis following blepharoplasty
The key point here is whether or not a ptosis repair was attempted as part of the blepharoplasty procedure. If so, and the problem appears to be worse post operatively I think it merits a visit with your surgeon to insure the repair is intact. You may still be seeing swelling this soon post op. If the ptosis was not repaired it will not improve.
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Ptosis
You stated that you had the ptosis before the blepharoplasty surgey. One problem is that good blepharoplasty skin removal without specifically addressing the ptosis will usually make the ptosis more apparent. The shame is that you could have corrected the ptosis at the same time through the same incision. Fear not though once all is healed you can still have the ptosis surgery to correct the problem. Don't bother with exercises, you have a levator aperneurosis dehiscence and its...
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Post blepharoplasty ptosis
Was the ptosis repaired during surgery? What has your surgeon said about it? Is it worse than it was preoperatively? Does your eye close completely? We need more information to answer this question appropriately.
Brian Biesman
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Wait!
I cannot determine from your question if you had the ptosis repaired. Regardless, three weeks post op is not long enough to allow the swelling to resolve and to determine your eyelid position. I don't think this pertains in your case, but I have seen ptosis that occurred after blepharoplasty resolve by itself in 2-3 months without surgical intervention. You should wait at least 6 months before deciding how to proceed.
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Residual ptosis after lid surgery
From your question I gathered that you are facing two scenarios. One, the surgeon attempted to correct the pre-existing ptosis and now you still have ptosis in which case you should ask your surgeon if an adjustment is called for and when. Two, the surgeon did not attempt to correct the ptosis then more than likely you will still have it.
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Ptosis after blepharoplasty surgery
It can take up to two months for mild ptosis after blepharoplasty for it to resolve. That being said, you need to discuss with your surgeon whether the issue was addressed or not. If it was not addressed, then it might represent the same amount that was present prior to the surgical procedure. Also, it is not uncommon for one eye to have 1mm of difference from the other eye.
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Ptosis after eyelid surgery
Because you do not state if the ptosis was repaired during your blepharoplasty, it is difficult to answer this question. If the majority of your swelling has subsided, then you may be at what your end result is, but if you still have swelling, I would have your Plastic Surgeon re-evaluate you to determine when you would be ready for ptosis repair.
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Ptosis After Surgery
It is hard to tell from your question if you had ptosis before and/or after the surgery. So, I am not sure what you are asking. Regardless, 3 weeks after surgery is way to early to consider any type of revision. You need to wait at least 3 to six weeks for the tissues to heal and the swelling resolve before any other type of intervention.
Good Luck.
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Mild ptosis
You did not mention whether the plan during surgery was to fix it or not? I assume by your description it was fixed. It may all be due to swelling so give it some time.
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Mild ptosis and eyelid surgery.
At 3 weeks post-op, it's too early to tell. You'll have to wait for the post-op swelling and inflammation to settle down before making an accurate assessment. If you did not have any ptosis repair with your eyelid surgery, it may be your pre-existing asymmetry combined with a little edema of the tissues that is causing the effect.
See your surgeon and discuss your concerns. But don't be surprised if watchful waiting is recommended.
All the best,
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3 Weeks Post Bleph Left Eye Has Mild Ptosis - Wait or Revise?
If you have preoperatively mild ptosis why was it not corrected? You will need ptosis surgery after a 3 month wait. From MIAMI Dr. Darryl J. Blinski
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Blepharoplasty healing time may require months
Dear Tampa, As you describe that the eyelid ptosis was present before surgery, it is possible that you may have assymetry of your eyelids after surgery. This may be swelling, healing, or real.
However, since this has been 3 weeks since your surgery, adjusting the ptosis repair is not likely to be successful at this point.
Wait for your healing process (3 -6 months) to complete and then reassess your eyelid symmetry with your surgeon.
Best Wishes
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Eye still lazy after blepharoplasty, wait a bit!
3 weeks after blepharoplasty you still have swelling in the eyelid, that swelling can weigh the eyelid down. It is critical to wait at least 6 to 10 weeks before you start to worry about symmetry or complete correction. I would plan to wait at least 6 months. Things will tend to improve for that period of time and chasing the result too early can lead to severe problems.
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Much too early.
Swelling in the eyelid can persist for a couple of months after surgery, possibly longer. For this reason, it is best to give the eyelid plenty of time before considering a revisional surgery especially if the issue is mild ptosis. Typically I advise 6 to 12 months before considering revisional surgery. It is important to understand that your original surgeon may or may not be the person to fix the upper eyelid ptosis should it persist. While many surgeons offer...
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3 weeks post-bleph with persistent (mild) ptosis--re-operate now?
At three weeks, your residual mild ptosis may be real, but it is equally likely it is due to residual swelling and incomplete healing. Since scar tissue generally contracts, you may find that your ptosis has been corrected nicely, but of course, your slight eyelid malposition could persist and require re-operation. BTW, exercise does nothing, and may in fact actually stretch and damage the ptosis repair your eyelid surgeon has carried out. Normal everyday blinking and eye movement will allow...
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