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Asymmetry Post Bleph - Sacramento, CA

Not Worth It
Spent: $4,200 in Sacramento, CA

Comments (95)

Posted 13 Apr 2011

Mainly, I urge you NOT to go through w/ this surgery. Only now do I see that MOST of the online articles say that the MOST COMMON problem is asymmetry! Gee, too bad this was not emphasized to me in advance.

Now I feel disfigured, embarassed, ashamed. I am sick every time I look in the mirror. Yes, I had a board certified p.s. Big deal. I'm still disfigured, depressed, sick.



Updated on 25 Apr 2011:
Did it because risks were never discussed. Had I known the risks, I would have walked away, as my eyes weren't so bad to begin with.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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Doctor did not provide thorough info on post op expectations. He minimized the risks, acting as if the procedure was so easily done, and results would be positive. No honest discussion about the risk of asymmetry, sagging lower lid, weeks of eye sensitivity, In hindsight, wild horses could not drag me into that surgery room, if only I had known the truth.

Updated on 25 Apr 2011:
Dr. Stevenson provides NO pre-op info, leading you into surgery with no concept of the risks involved. Post op, he only says "wait a while."

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Comments (95)

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Santa Maria5726 14 Apr 2011
How many weeks are you post op? I suffered with assymetry for almost a month. Happy to say it is much better at 3 months but still not perfect. Hoping the residual swelling will be gone in the next 3 months and take of the minor differences. I also felt sick to my stomache and thought that I had "ruined" my eyes. It took so long for the swelling to go down - still have a little - and when it did it would be in different areas, creating an assymetrical look. my right eye had more sagging under it due to swelling/scar tissue on the scar under the corner. This is much better now but still not 100 percent. There is still a small pocket of swelling at that spot but no one sees it unless I point it out. Hope time will fix this as well. I am hoping you are still early in your recovery and that these issues will clear up for you as well! Hang in there!
anon5962 14 Apr 2011
i always had one eye bigger than the other. Its still the same. I'm delighted with my results and realize no one is perfectly symetrical.
Worst Mistake Ever 14 Apr 2011
I am 3 weeks post op, after upper and lower bleph. There is NO symmetry between either upper or lower eyelids...making me look like I'm in a weird circus mirror. If I had adequate warning about all this, I obviously would be feeling differently, but the lack of blunt, basic, honest info is inexcusable. I also REALLY appreciate your thoughtful responses, all. It is helping my mental state, somewhat. I'm going to see the guy tomorrow and beg him to help me....i.e. perhaps tape up the side that has a sagging lower lid. OMG.
Santa Maria5726 14 Apr 2011
I agree with the fact that the doctors do not adequately warn you of complications nor prepare you for the months of recovery. This was my biggest gripe! I wish I had discovered Realself BEFORE I had the surgery. Many suffer with chemosis, assymetry, drooping lids, etc that I had no idea could happen! My dry eye and assymetry were brought up to my surgeon time and time again (almost every week for the first 8 weeks!) but he dismissed it. He said it will all even out around the 3rd month - that I was just taking "a little longer" than most. Well I must say he was right - it is almost all better at the 3rd month. I don't know how many times I emailed his office and emailed questions here on realself.com The reassurances from the surgeons as well as the bloggers got me through to this point and I am so grateful! Please keep us updated on your recovery!
brook607 14 Apr 2011
Did you have an upper or lower bleph?
My eyes are already asymetrical. My right upper eyelid droops more than my left. This is pretty common. Most people I know who have upper eyelid sagging, their right eye sags more than the left.
Anyway, I am getting an upper bleph, and I expect the asymetry will still be there afterwards.
Good luck to you.
Bartlett4047 14 Apr 2011
The upper bleph I had 10 months ago
resulting in asymetry and done by one
of the top Chicagoland plastic
surgeons and who is highly rated by
this site.
Worst Mistake Ever 14 Apr 2011
Bartlette, perhaps the whole message was not posted. Pls try try again.
Worst Mistake Ever 14 Apr 2011
wooops...just saw it. never mind
Bartlett4047 14 Apr 2011
Let me know if you need to know
anything further.
Summerville7750 14 Apr 2011
I am month post op, just starting to look human! I regret it so much! the scars are terrible, my vision is terrible, and light sensitive. And by the end of the day my eyes are exhausted. I use natural tears daily! and silicone strips (they look like bandaids) at night on the scars to help them heal. at46 it was not worth it!!!! Maybey at 60ish I would feel differnt. but I dont recommend doing it! And my wedding is in 6 weeks!
Worst Mistake Ever 14 Apr 2011
The eye sensitivity has been (yet another) problem for me, 3 wks out. I am also having stinging sensation, excess tearing, redness, all worse as the day goes by. On one hand, it's good to know that this will probably resolve in 3 months, but on the other hand, GEE, ya think this would have been explained at some point? I recall my doc asking me, "do you wear contacts?", and when I said yes, he said nothing more. (cash payola perhaps a conflict of interest here?) I know that' cynical, but look at this avalanche of similar stories.
ernurse 14 Apr 2011
Hopefully as the above posters state, time may help your swelling and your eyes will look more symetrical...I hope you have been back to your PS and complained. I suppose he told you that you need to wait....which is the standard reply. If things dont improve make sure you complain in writing. Seek a refund!! Write to any boards he may belong to and through your Health Complaints Commission or whatever is US equivalent. What happened to you should NOT happen, but does frequently. ie minimising the possibility of complications.
Bartlett4047 15 Apr 2011

Swelling (edema) gradually diminishes and disappears greatly at the four month mark, and by 6 months is barely there. I personally stopped using silicone gel on my eyelids as it was getting into the eye causing mild stinging and very minor blurriness. I did continue to use vaseline even during the day to keep that suture line soft. My vision was always clear and I was careful to avoid makeup the first 4 months. This is important as it can go into
the points that the stitches leave behind which are still open and can form a "tattoo" that may linger in the eyelid skin. At the four month mark the eyes pretty much look as they will in the end, but with residual swelling. Eye vision problems should be evaluated by an opthamologist and there is also a two year window for any legal action. I agree that the money is paramount to these surgeons and the patient's well-being is secondary. The eyes of a young person have a thin upper lid when open, after they are operated on the lid will look larger as some skin has been removed, but the eyes should always feel moist and close completely with no show of sclera as the swelling resolves.

Eye drops have to be used continuously until the moisture returns, this is critical to vision.
Check which kind to use. There is an anti-inflammatory cream that does help the suture line. The red scar fades to white around six months, but can take up to a year. The ridge softens gradually and takes from six to 18 months.

anon3896 15 Apr 2011
Bartlett. Thank you so much for sahring this valuable information.
I underwent upper lid Blepha 4 weeks ago and I am recovering nicely I think...
I had very little swelling and bruising. It just lasted about 2 weeks - I do not know if what made the big difference were the antinflamatory pills, cold compresses and eye drops or the use of homeopatic arnica pills.
My sister in law had the same procedure done a few years back, and she said that I looked great coming out of the hospital. Also, she was surprised that I did not look like coming out of a boxing match or racoon masked!
I guess I have been blessed.

My doctor however didn't mention that I had to wait 4 months to wear make up again,- I am already using eyeliner and mascara as of this week. - nor that the red scar will fade to white until 6 months. It is still very visible and the ridge on the right side is more prominent than on the left side.
Overall I am happy with the result so far. I guess I still have to wait to see the final result.
Bartlett4047 15 Apr 2011

No bruising is the norm, but the swelling is seen in that the eye becomes very small and gradually "opens" up as the weeks go by. I am very glad to hear that you used all of the above remedies to ease the swelling and hasten the recovery. They all contributed to this in particular the cold compresses. What also helps greatly is if the person sleeps in a semi-upright position (a recliner) for the first two weeks. Be sure to avoid contacts in order to lessen irritation, etc. The red scar can fade earlier, but it generally is white at the 6 mo mark.

Bartlett4047 15 Apr 2011

Initial vision blurriness occurs because the eyelid is too swollen pressurizing the eye. This should resolve within the first two weeks, if only an upper bleph was performed. Go back to your doctor if it does not and get a second opinion if you are not satisfied.

Bartlett4047 15 Apr 2011

Avoid Visine during the healing period.

NHaven 15 Apr 2011
My asymmetry was so bad I went to an oculoplastic and reconstructive surgeon. First my facial surgeon cut my levator muscle during the procedure then repaired it too tightly so my eyelid wouldn't close. After six weeks of "bug eye hell" the specialist repaired the lid so it closed and repaired most of the symmetry. This summer he'll fix the other eyelid so they match but it's already pretty close. He's awesome. But the generalist was a big mistake. These "board certified Plastic Surgeons" may do blepharoplasties regularly, but don't have the technical ability to correct their own errors. It's when there is a problem that the true excellence of the surgeon comes through.
mely 7 Dec 2011
I need a revision for bad quadblepharoplsty I had 9yrs ago n I need to find a good oculoplastic and reconstructive surgeon, can u give me his name please!
mely 10 Mar 2012
Please, give me the name of your oculoplastic surgeon, who fix your Asymmetry I have ectropion on my right eye n asymmetry n need to be fixed.
Worst Mistake Ever 15 Apr 2011
Went to eye doc today. (I'm 3 wks post op from upper/lower bleph, having much eye stinging). She said the eye is very dry....the tears are just breaking up right away. To remedy this, she recommended: Refresh Celluvisc, as well as a thicker ointment via RX, plus restatsis RX. Also to use moist compress in a.m.s. No contact lenses till further review. So, gals, go ahead and stock up on serious moisturizing eye drops. She said you can use as much as you want....it can't be overdone. I had NO IDEA there was an oculoplastic surgeon! My goodness, hope others will learn from our blog.
Bartlett4047 16 Apr 2011
You were right in seeking out a
specialist, the oculoplastic surgeon
who repaired the eye. Eyes and
noses are both in the specialist
only category. The both require
artistic, highly knowledgeable work-
manship and I am very
glad that you found this. I have
the name of a specialist, but how
did you find yours? It scares me,
my defect is minor compared to what
happened to you, but it bothers me.
Plastic Surgeons are generalists
and more for body work.
Worst Mistake Ever 16 Apr 2011
Well, I did NOT go to an ocular plastic surgeon,(yet) just my regular eye doc. (I had no idea there were specialsits, and regret being so naive!) At least I have somebody looking at the crazy eye symptoms, and some RX stuff to work on. They do have the ocular p.s. at this clinic, so I appreciate your suggestion, which is GOLDEN. TO ALL POTENTIAL PATIENTS...DO NOT GO TO A GENERAL P.S. FOR EYE WORK!!!!!!! Learn from this!
Thank you so much for your support. It is so helpful during this crazy time. I was telling my husband that this is among the top 5 of "worst chapters" in my 57 years. heavy.
Bartlett4047 16 Apr 2011
Keep using all your prescriptions
and get a lot of rest with your
head elevated if possible which
will accelerate your recovery. In
retrospect, you will realize that
that it all went faster and better
than it seemed at the moment. Keep
up with regular checkups.
Bartlett4047 16 Apr 2011
Eye stinging and redness are indeed
from dryness and has to dealt with
immediately and constantly. It
stems from the swelling, but
the tear duct could be involved. Make sure your tearducts are not
in anyway compromised from an
inner stitch. Get a second opinion if needed from an oculoplastic surgeon. Have someone look at your eyes when closed naturally without putting any
downward pressure on the lid. Have
that person check for any show of
the white of the eye or for lower
inner lid lining. Using cold compresses reduces swelling, but eye drops and ointments
are critical indeed. I did
not have the lower lids done so this
is much more involved and you have
more healing to accomplish. You
will look very nice when healed,
so here is the best for a speedy recovery.

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