Mark Domanski, MD

I try to minimize scars by using strict sterile technique to minimize changes of contamination during the surgery.  Meticulous hemostasis (minimizing bleeding) may also help minimize post-surgical inflammation and scarring.  For closure, I try to place deep sutures to reduce empty space and the chance of fluid collections.  Incisions should be closed with appropriate tension.  Too much tension and scars can widen.  Superficial sutures are placed to align the skin edges.

Postoperatively, I like my patients to use a scar cream that contains a sunscreen in it.  Scar massage during the first couple of months after surgery can help re-align collagen and soften the scars.

If scars are not exactly what was anticipated, I try to understand what went wrong and see how it can be addressed. As for your situation, it is impossible to give a specific opinion without seeing pictures.  Please seek an in-person evaluation.

Best of luck on your journey.

Post hoc, ergo propter hoc?  Just because the contact on the right eye was left in too long does not mean it was causal to the eyelid problem.  The temporal relation could be coincidental.

Eyelid drooping can be from: a redundancy of skin, weakness of the levator palpebrae superioris, dehiscence of the levator palpebrae superioris from the superior tarsus, weakness of Mueller's muscle, or related to excess brow ptosis.

Depending on the cause of your eyelid drooping, this cause could then be addressed with some sort of tightening procedure or other treatment.

For specific recommendations, please seek an in person consultation.

Patients typically go home the day of surgery.  Patients need somebody else to drive them home (not Uber) and be with them the first night after anesthesia.

Swelling generally maxes out at 48 hours.  Different patients have various levels of bruising, depending on just skin or skin and fat resection.

Sutures are removed during the first week after surgery.

Return to work depends a lot of the type of work somebody does - telework is easier, in-person sales is harder.

Every patient can be different so please make sure to ask your surgeon during your consultation.

Dysport results are not permanent, which means that people often need maintenance treatments to sustain their results.

However, if the results are not exactly what you want, they are not permanent either.

Best of luck and please seek out an in person evaluation with a physician for a specific answer to your situation.

There likely still an epithelial tract that is shedding skin.  This could be removed under local anesthesia in the office.  An incision line would be visible, but should fade with time.  This should solve the "pore" problem.

My patients generally are able to go to work the next day.  Sutures are either removed in a week or dissolve by themselves.

Best of luck!