Edward H. Bedrossian, Jr., MD

Hi :
Thanks for the photos .
Your unequal brows are related to unequal eyelid height. You would benefit from an evaluation of eyelid ptosis and not brow lift surgery. Revision blepharoplasty would improve crease height and the heavy skin folds.
Best
Edward H Bedrossian Jr. MD FACS

Sorry that you are having this issue.
There are products that can be injected into the lump to dissolve the filler. F that does not work , Surgery to remove the lump may be necessary and is usually very successful.
Hope this helps
Edward H Bedrossian Jr MD FACS

Hi ;
Sorry you are having irritation and redness after using tridepigmentation cream . It sounds like the cream is doing what it is supposed to do, but your skin may be very sensitive to it ; or less likely you may be allergic to it. To reduce the redness and itching, it is best to stop applying the cream until the irritation and redness resolves. The light application of Aquaphor, mineral oil or petrolatum will help with healing.
Panderm Cream is a stronger cream containing Nystatin, Triamcinolone, Gramicidin, and Neomycin, It prevents fungal and bacterial growth, Unless you have an infection, I would not use it initial because it may be more irritating.

Hi :

 Thanks for the photos.  As a result of numerous surgical procedures to the left eye, it looks like you have "lost" tissue from behind the left eye so that it no longer "protrudes " as much as the right eye. It would be helpful to see photos of yourself taken before the retinal detachment surgeries. Surgery to replace that "lost" tissue  from behind the left eye can be done but is risky with unpredictable results. 

However, there are a few things that can be done to make the left eye look more like the right one. First. the eyelid creases can be surgically modified to look more equal. Second, The right lower lid looks lower then the left lower lid, particularly when you look up. The right lower lid can be surgically raised to look more equal to the left lower lid. Third, a non surgical option is to get stylish glasses with appropriate lenses to camouflage the difference. Fourth, seek consultation with an Oculoplastic surgeon.   

Fortunately, your eyes look straight and the redness in the inner corner of the left eye will lessen in 3-6 months. 

Best, 

Edward H Bedrossian Jr. MD FACS

Persistent retraction of your upper lid ( 8yrs after ptosis surgery) suggests that scar tissue is preventing your lid from closing , too much skin was removed, or both.  An Oculoplastic/ Eyelid  Surgeon, at examination, would determine which is the case. Most commonly, a structure called the orbital septum has been caught in the scar, and must be released and often a spacer is inserted. Less commonly, skin must be replaced.   From your photo, gold weights are not needed . 

 5-FU is not usually needed or advised unless you have a history of  keloid formation. 

Best wishes

Edward H Bedrossian Jr. MD FACS