Unhappy with Result of Blepharoplasty and Mid Facelift for Eye Bags - Australia

Treatment was a mid face lift/blepharoplasty...

Treatment was a mid face lift/blepharoplasty performed via transcutaneous incisions. Obicularis sewn to periostium. This was unsuccessful as my lower eyelid became retracted almost immediately. I developed considerable lower scleral show and accompanying foreign body sensation and tearing.

My eye shape was totally altered. Outer lower half was sloping downwards. I had a canthopexy and tarsal strip procedure 2 months ago to attempt to correct this. My left lower lid just now comes up to the iris and my right lower lid is still sloping downwards. This was observable 2 wks after surgery.

My surgeon (cosmetic/craniofacial surgeon) says that this is because the muscle on the outer side of this eye is not working yet. I am dubious about this because I had this problem with my right eye before since my original surgery. I could never get it to lift as high as the left, even when I smiled. My eyes look quite asymmetrical now.

I was aware that the canthopexy may not work because we are dealing with soft tissue and gravity first surgery and the lower lid sat about 2mm over the iris. I always had some bags under my eyes even as a child they were puffy. However I would never do it again. Or at least never with the original surgeon.

He ruined the shape of my eyes and caused huge amounts of discomfort. None of which I was warned about. I think tampering with the obicularis has altered the support structure of my eyes and just using one stitch to hold it up was not a good procedure for me.There was not too much skin taken but my cheeks just weren't held in place by the one stitch.

. What do you think would be the best way to go now? Should I have the canthopexy redone? Or will that just be more of the same? Is there a more permanant fixture? Would a hard palate graft be the way to getting more height in my lower eyelids? What about from behind the ear? Is there a problem with either of these grafts?


Since the above I have had subsequent surgery, a...

Since the above I have had subsequent surgery, a canthopexy and a tarsal strip created. This has only been partially sucessful  At first it looked great and now two months+ later it is not so good.  My left lower eyelid just barely touches my iris. It looks passable though but my lateral canthus does not have the acute angle it had before any surgery.  My right eye is still a mess.  The outer half of the lower lid slopes downwards, continueing to give my eye a round look.  There must be some muscle ptosis as even when I smile the right lower eyelid does not come up as high as the left.  This was damage from the previous surgery.  Also despite my surgeons promise that my eyes would not be smaller than before the canthopexy.  They are.  I have measured the fissure and it is definetely smaller. 2mm to be exact.  So I am left with assymetrical eyes.  I have given up wanting them to look as they did before any surgery, I just want them to look normal.  What does anyone out there suggest?

I am thinking a hard palate graft maybe in the lateral lower lid to bring the corners up a bit more?  My surgeon did tell me at the conclusion of this surgery that I would not need a graft and that if he had to redo he would redo canthopexy again. Would this work? Or is this just a dog chasing its tail situation?  I have a feeling he did canthoplasty not pexy, As he told me he plicated canthus and moved it 4mm.  I do not want to end up with tiny little eyes.  What do you all think?  I am due to return to my surgeon on 17th of this month and would like to have a plan in place. I am a nurse so have access to any literature you could advise me to read in advance.  I only wish this had been the case before my initial botch up 3 years ago.


 

I have had many procedures such as hard palate...

I have had many procedures such as hard palate spacer graft bilaterly. This has successfully brought up my lower lids, but I have assymetry( one eye wider and longer than the other) and lower eyelid hollowing. I am actively seeking assistance with this. Anyone seeking eyelid surgery in Australia please contact me and I will warn you against my first surgeon.

Name not provided

he did not adequately explain either the procedure or the risks involved. He brushed any concerns aside and actively discouraged me from reading on the internet. When faced with my complications he denied anything was wrong, was unprofessional and rude stating "you are only unhappy because your friends are not telling you that you look good"

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