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Eyelid Surgery

Ptosis Surgery

Thanks for the question. From the photos it looks like you have mild brow asymmetry (your right side is lower than the left),&nbsp;along with&nbsp;right upper eyelid ptosis (drooping), and a deep sulcus/hollowing above both your eyelids.&nbsp;
The hollowing can be treated with injectable fillers or fat if it truly bothers you. 
If you're looking for temporary, non-surgical, options&nbsp;many people have found that the eyelid position can be&nbsp;improved using prescription eye drops (iopidine or brimonidine)...but this is only a temporary treatment. Long term results would require surgery.
I would suggest you have an evaluation by an experienced&nbsp;oculoplastic surgeon to see if you're a candidate to have surgery on the&nbsp;back side of your eyelid so that there is no scar. If you're in the Houston area, Drs. Charles Soparkar & James Patrinely are both very experienced and highly respected.&nbsp;

I have always had asymmetrical eyes. But, the older I get, the more pronounced the difference is becoming. Every day is a make-up struggle to try to make them look somewhat similar and just forget it when I'm tired- the droop gets real. I'm 38 now and wondering if there are any - somewhat affordable - options to minimize the asymmetrical appearance. I'm not shooting for perfection here, just tired of looking a bit drunk all the time. Haha! Thanks for any feedback.

Is there something besides oculoplastic surgery to help my drooping eye? (Photos)

Your swelling and bruising&nbsp;looks appropriate for one week. It's very common to get swelling and eyelid drooping (ptosis)&nbsp;after having a surgical procedure. The postop&nbsp;swelling from the surgery creates extra weight on your eyelid and weighs it down to cause a droop. This should continue to improve each week and a lot of the swelling will resolve within the first month. However you may continue to see improvement in the lid height&nbsp;for up to 3-6&nbsp;months after surgery. Continuing to follow up with you surgeon for repeat&nbsp;examinations while you're healing. Best of luck.

It's been one week, I know I'm not seeing the final results, I was just wondering how much it would lift, and how long it would take

How long will it take to see results after ptosis surgery? (Photo)

It's difficult to fully evaluate your situation without seeing photos and directly examining you, but it's very common to get swelling after having a surgical procedure. The postop&nbsp;swelling from the surgery creates extra weight on your eyelid and weighs it down to cause a droop. This should continue to improve each week and a lot of the swelling will resolve within the first month. However you may continue to see improvement in the lid height&nbsp;for up to 3-6&nbsp;months after surgery. I'd suggest continuing to follow up with you surgeon for repeat&nbsp;examinations while you're healing. Best of luck.

2 weeks ago, i had my left upper eyelid surgery to lift up in order to match with my right eyelid. now my left eyelid is actually much lower then it used to be. everyday I'm watching it but don't see any improvement. really disappointing! after another 2-3 weeks later, will my eyelid jump up gradually??

How long do I have to wait to see the final result of upper eyelid surgery?

Sorry to hear about your situation. Having drainage w a "foul&nbsp;odor" is atypical and could be the sign of an infection. I would suggesting following up w your surgeon so he can evaluate the situation and your concerns. Best of luck.

(i)the endotine devices are giving me severe migraines everyday (ii)there's oil secreting from skin and a musty foul odor smell that is emitting from where the endotine devices were placed in addition to where scalp incisions were made (iii)the odor today is so prominent that people around me have held their noses or laughed at how foul the smell is. this odor is so strong it can fill up a room (no joke) it has brought down my self confidence and the smell makes me so nauseas I want to vomit

Blepharoplasty/endoscopic brow lift - it is malpractice and can I get recovery costs?

Sorry to hear about your situation. Once in a while&nbsp;Botox can diffuse into the levator muscle that lifts the eyelid and cause drooping.&nbsp;The good news is that this is reversible, but&nbsp;this can take 2-4 months to completely&nbsp;resolve and go back to your initial baseline. 
If a doctor believes the droop is&nbsp;due to the Botox, no treatment is necessary and this will spontaneously resolve with time. Many people have found that the eyelid position can be&nbsp;temporarily improved using prescription eye drops (iopidine or brimonidine).&nbsp;
This can happen with any well trained injector, but it's important to make sure your injector underwent extensive training and has a good anatomic knowledge.&nbsp;Be sure to mention this prior to you're next injection so adjustments&nbsp;can be made to help minimize your future&nbsp;risk. Best of luck!

My eyelids drooped after Botox on my forehead! Once the Botox wears off will my eyelids go back to what they were?

Glad you see you're seeing&nbsp;results! The effects of&nbsp;botox continue to improve over the first two weeks so you'll likely&nbsp;continue to see improvement. If this is your first treatment in the forehead (or with this injector)&nbsp;it's possible you may want additional treatment(s) to take care of any residual wrinkles. Just be aware that botox in the forehead can&nbsp;also lower your eyebrows since your forehead muscles (the frontalis) can no longer lift them up. I'd suggest following up with your injector 2 weeks after treatment to address any additional concerns you may have. Enjoy the product!

My forehead seems to be reacting to the botox in the middle but nothing is happening on the top or bottom. Should it be happening at the same time? Will the lines dissapear?

Day 4 of forehead Botox and it is having uneven effects, will the lines disappear? (photos)

Thanks for the question. Ptosis (or droopy eyelids) can give the appearance that someone is tired. Unless it's due to medical conditions, this will usually have a gradual onset and people will unconsciously compensate for it by lifting their forehead or tilting their head back. If&nbsp;it's affecting the upper parts of your peripheral vision enough, the surgical repair&nbsp;may even be covered by your insurance.&nbsp;
 
It's difficult to see how much (or if) you have ptosis from the photos. I would suggest following up w an Oculofucial surgeon who specializes in surgery on and around the eyes so that you get the best evaluation and results. Best of luck.

A lot of people tell me that I always look tired or sleepy. I think it is because of my upper eyelid exposure. Upon researching some more I found it's called ptosis? Do I have it?

I have a lot of upper eyelid exposure. Is this ptosis? What can be done to correct this? (Photo)

Thanks for the question and sorry to hear about your injury. It's difficult to fully evaluate the severity of your injury without directly examining you (and the location of your eyes relative to each other)&nbsp;along with the CT&nbsp;scan. Some orbital fractures do not require repair and can be observed. However fractures that are large, have a large degree of displacement (are not well aligned), cause diplopia (double vision),&nbsp;or cause the eye to fall back (enophthalmos)&nbsp;should be repaired. If surgery is necessary,&nbsp;it is typically best to repair these within a couple weeks after the injury.&nbsp;I would suggest following up with a university based&nbsp;surgeon who specializes in facial plastic surgery and reconstruction (i.e. an oculoplastic surgeon)&nbsp;for the best evaluation and treatment result. Best of luck.&nbsp;

Fx of inferior lateral left orbital margin extending across zygote and lateral maxilla. Fx of superior lateral left orbit. 4mm medial and 4mm posterior displacementhe of lateral left margin. Zygomatic arch is intact. Globe, optic nerve, extraocular muscles intact. Injury occurred 10 days ago. Swelling has significantly decreased. Minimal pain level.

Is surgery necessary? Would surgical intervention significantly improve external symmetry? (photos)

Thanks for the question. As you mentioned, your photos show that the portion of your&nbsp;eyelid just above the&nbsp;lashes is covered which would make it difficult to apply (and maintain)&nbsp;makeup. An upper eyelid cosmetic blepharoplasty to remove the&nbsp;excess skin/muscle/fat&nbsp;and recreate your eyelid crease&nbsp;would certainly help. If you wanted to try non-surgical options, you could consider botox for a chemical brow lift and see if that helps. Either way, I would suggest seeking consultation with someone who is well trained and specializes in oculofacial surgery to get the best evaluation and treatment options.&nbsp;Best of luck.

My eyes are very hooded. I'd like to have corrective surgery as I know it'll only get worse with age. Right now, I can't wear most eye makeup because my eyelid just swallows it up. It also upstructs my view slightly. As the surgery would be a major investment I want to ensure I'm as informed at possible.

I'm 25, considering blepharoplasty. Am I a good candidate? (Photos)

Thanks for your question. Neuromodulators (Botox, Dysport, and Xeomin) can all be used to selectively weaken facial&nbsp;muscles. As you mentioned, the photo appears to demonstrate that your right brow is higher than your left. Neuromodulators can be administered to either lower the right brow (with injections in the forehead)&nbsp;or slightly elevate the left brow (a "chemical lift"). This should help minimize the assymetry. While the neuromodulators are frequently given to address brow assymetry, you should know that this is an off label (not FDA approved) use of the product. As with any procedure, be sure your injector has undergone extensive&nbsp;training to help achieve the best results. Best of luck!

They are obviously not the same and i want to know if botox will fix or some other method that will help.

Will botox fix my uneven eyebrows? (Photos)

Neel Kumar, MD

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He is accurate and careful, and always explains what my expectations should be for each procedure. He takes the time to go over what facial structure should look like and where improvement is or isn’t needed. He is always concerned about the comfort and satisfaction of his patients, and he is always available for questions or issues that arise. This review was created as part of a nomination to the RealSelf I Love My Injector Campaign.

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