Eyelid Surgery

Double Eyelid Surgery

Brow Lift

Dysport

I tend to agree with several of the other respondents. As it is, under normal circumstances a combined blepharoplasty and brow lift require careful planning and consideration. Given the presence of a nerve palsy, it may be wiser to address the brow before undergoing a blepharoplasty. A recent presentation at the American Society of Ophthalmic and Plastic Surgery even suggested that long standing facial nerve palsy may lead to a shortening of the upper lid skin on the involved side. In short, both procedures are appropriate as long as a thoughtful planning is in place.&nbsp;

I had Bell's Palsy over a year ago. I recovered about 97% but my one eye is a little smaller than the other and drier. I also have heavy hooded lids. The facial paralysis doctor I saw recommended I see an ocular and cosmetic surgeon who in turn is recommending upper blepharoplasty and a brow lift done in the same incision. I am just nervous, I will look worse or draw more attention to my uneven eyes. If I didn't have the issue from Bell's palsy I would be less concerned and take the risk.

Should I get upper bleph/brow lift or will I risk looking worse and draw more attention to my already asymmetrical eyes? (Photo)

In addition to what has already been proposed, one common problem following the injection of botulinum toxin can be the formation of festoons or fluid pockets underneath the eyelid. The normal muscle tension of the orbicularis muscle may hide this tendency under normal circumstances. However with the loss of tone, any skin or muscle laxity is likely to reveal itself and may result in the formation of festoons. On a positive note, your condition&nbsp;should self-resolve as the toxin wears off. Best wishes

Had dysport for crows feet 27 wks ago. Included injections towards the middle under my eye. Overnight a bulge under left eye developed which Dr thought was swelling from injection. It did not resolve &amp; I now know it is a herniated orbital fat pad. As muscle activity has returned I have noted that when I smile widely the fat pad is pulled back into place. However when my face is relaxed or smiling slightly the bulge remains. Is it the muscles or septum that support the fat pad in a relaxed face?

Can Dysport Result in Permanent Damage to Orbital Septum?

The response you are seeing is not unusual. Very often blood and fluid can travel down the face. This does not mean your surgery was in anyway unsuccessful. If these findings do not resolve soon you should consult your physician. All the best

I had a lower transconjuctival blepharoplasty with fat repositioning along with a primary rhinoplasty three days ago. I expected the swelling that has come since, but was NOT expecting the location of the swelling - in the lowest part of my face. It&#39;s like my face is filled with fluid that settled downwards giving me insane low-set chipmunk cheeks. Is there a problem here? My doc seemed unconcerned but of course I&#39;m freaking out. Is this swelling from the bleph or the rhino?

Is Jowl Swelling After Blepharoplasty Normal? (Photos)

The scar can certainly be dimished but you are always taking a chance with possibe further scarring. Tatoo and hair transplant can help assuming you would want your hairline to be lower. A new incision with meticulous repair has a very good chance of improving your appearance. It would be critical to follow the surgey with adjunct treatments such as steroids, IPL etc to prevent the formation of a new scar - Best of luck

I had a browlift performed ten years ago and due was left with a wide, visible scar beneath my hairline. As I have aged and my hair thinned--I am now 46--the scar seems to be extremely visible and ugly, and more difficult to hide. Can it be treated in any way, such as with lasers or tattooing? The doctor who did the surgery tried to tattoo it, and now I have a darker red line above the scarline, making it even worse. Does anyone have any experience with this? Thank you so much!

Can Visible Browlift Scars Be Treated?

The answer to you question requires significanlty more information regarding the type of surgery performed. Generally blepharoplasty MAY change the shape of the eyeldis but should not cause a signficant change in the position fo the eyeball. what you are describing can happen if the eyelid ligaments (canthal ligamnets) were also tightened causing the eye to shift upwards. In general this can resolve slowly over time. Alternatively the points of attachement can be revised to allow for a looser eyelid. As long as you are not experiencing double vision, diinished vision or eye pain, I would recommend you wait 6 months or more before reassessing the eye position. Good luck

I had lower eye bleph with an incision about eight weeks ago. My PS told me me that after removing minimal fat, he cut skin and muscle than redrapped the muscle. My question is whether this procedure could cause the eyeball to move up, forward, and slant. If so, will it resolve in more time? Thanks.

Lower Bleph with Incision - Can This Cause Eyeball to Move?

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.

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?

3 Weeks Post Bleph Left Eye Has Mild Ptosis - Wait or Revise?

Your description sounds like a classic ptosis. However there are number of factors you need to consider first. such as : (1) &nbsp;Your age. (If you are young, you need to consider causes other than levator dehiscence), (2) laterality (Is this on one side or both sides?), (3) Onset (How quickly did this come about?), (4) variability (is the ptosis constant throughout the day)

	The good news is that a lot can be done once you&#39;ve undergone a careful workup. Oculoplastic surgeons are particularly well trained to evaluate and treat this condition. Good luck

Hi doctors. I suspect I have a ptosis because I find my eyelids constantly straining to stay open (similar to constant stretching of a muscle) and when I raise my eyebrows the eyelid crease don't move up with it, so this doesn't help much. Is this a "levator dehescience" type of ptosis, and which specialists are good for correcting this functional problem?

Best Specialist for Ptosis Repair?

Eyelid surgery, especially when done for purely cosmetic purposes should not alter eyelid function. It is normal to have some temporary changes in the immediate post operative period. But they should all go away in time.&nbsp;

is there any loss of eyelid function after Double eyelid surgery or do they have the same function(s) and movement as before the surgery?

Double Eyelid Surgery and Loss of Function?

Not having seen your photos it would be difficult to judge. Given your age, oftentimes the appearance can be significantly improved with a filler such as Restylane. The effects from these fillers can last for a long time and may obviate the need for surgery. I wish you the very best

I&#39;m 20 years old, JUST and look double my age around my eyes! They are hollow making me look tired AND OLD! I have high cheek bones and am not sure if this is the reason! I haven&#39;t got a clue what sort of surgery would fix this best, but it&#39;s really starting to get me down! Also i&#39;m in the UK. Would there be anywhere that offers the treatment you advise? As i know that fewer types of cosmetic surgery are available over here! Thanks

Hollow Area Under Eyes (20 Years Old)

Ebby Elahi, MD

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Oculoplastic surgeons, also known as oculofacial surgeons, are ophthalmologists who have completed advanced training in eyelid, orbit, tear duct system, and facial cosmetic and reconstructive surgery.

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Ebby Elahi, MD

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