From the moment I met Dr. Perry , I knew I was in good hands. He was very professional and honest about the outcome of my procedure. I was completely confident in his abilities. Dr. Perry's office staff were pleasant and very helpful with scheduling my appointments. Dr. Julian Perry and his surgical team are top-notch.
I turn 50 in a couple of months. I realized the past 6 months I had bags under my eyes and I had never really noticed before. When I asked hubby a couple of months ago, he said he had noticed for about a year or so (?!) but he kindly never said anything. I decided to go for a lower bleph and my doctor said it was not wise. While it would look good now, I would get hollow as I age and I wouldn't like it - I also didn't want to do it along with fillers which was an option. He recommended fat repositioning but also said its a longer healing time, more costly, have to have anesthesia... Ugh... Decided just to do it and am very happy with results so far. The reason I am posting is the incredibly quick healing time which I believe is due to apple cider vinegar. Now I know its sounds strange but anytime I look up a remedy to something, this comes up! I literally iced my eyes, soaked with ACV/water, ice, etc.... I applied arnica a couple of times and made sure I slept on two pillows so I was raised. Part of my motivation was a Super Bowl party we were hosting a week after surgery - didn't want it to look like I had anything done!!! It has only been 2 1/2 weeks and I know the healing isn't complete but I'm really happy. Dr. Perry is wonderful!!!
This type of asymmetry is likely subtle to others, but not to you or your oculoplastic/oculofacial plastic surgeon. It may be from a medical condition affecting the left eye such as silent sinus syndrome, or one affecting the right eye more than the left such as thyroid eye disease...or other causes. It could also be the result of normal asymmetry, but this should be concluded after other causes have been ruled out. Deciding which eye looks better is not up to the surgeon, it's up to you, and the surgeon can then try to help you achieve your goal of improved (never perfect!) symmetry through a variety of options.
Sorry to hear you are suffering from thyroid eye disease (TED). It's a frustrating disease to live with and a challenging disease to treat. Your concern about inferior wall ("floor") decompression is appropriate, as large inferior wall decompression can result in misalignment of the eyes (causing double vision) or downward displacement of the eye. Of course, decompression surgery has many other risks including vision loss, but double vision and downward eye displacement are the main issues that have led many surgeons to prefer first decompressing other orbital walls, removing orbital fat, or both. The answer depends on factors including 1. what other walls/fat have been decompressed and how much, 2. how prominent are the eyes, and 3. risk tolerance. If maximum fatty decompression and lateral wall decompression have been performed, then other choices include conservative medial or inferior wall decompression. Never say never, but for mainly cosmetic improvement, is it worth possibly having some permanent double vision? The risk in experienced hands may be low, but certainly not zero, and a greater amount of inferior wall decompression equals more risks for double vision, so only the patient can decide this. Other 'camouflage' options exist as well, such as rim only implants, or even a teeny tiny little pinch on the outer corner of the eye (tarsorrhaphy- a very very small one can sometimes camouflage the eye, not the type you will likely see in photos on a google search). A cheeklift, filler, changing the upper eyelid position etc can also represent camouflage options for some patients. Unfortunately, these are all imperfect solutions for treatment of a complex and challenging condition that affects the way patients see, look and feel. Hope this helps, thanks for allowing me to share some thoughts, jdp
