Browse Eyelid Retraction Repair before & after photos shared by doctors on RealSelf.

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3 months post-op

lower eyelids

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When lower eyelid surgery complications bring down the eyelids, the often expose more of the sclera or the white of the eyes, also called scleral show. Lower eyelid retraction is commonly caused by unnecessary removal of lower eyelid skin, and is more likely to be caused by the transcutaneous approach of lower eyelid surgery where the incision made to remove fat that causes eye bags can also compromise lower eyelid support anatomy. It is also important to note that the transcutaneous approach is not recommended on darker skinned patients, as the external incision is more likely to cause scarring in darker skinned patients. Raising the lower eyelids through specialized anchoring and grafting by eyelid specialists can reduce scleral show, and give eyes a more expressive look, rather than the sad weariness of pulled down eyelids.

Reducing scleral show from lower eyelid retraction

Young man, with genetic protruding eyes and sad tired eye appearance underwent cosmetic orbital decompression (bulging eye surgery), lower eyelid retraction surgery with canthoplasty (almond eye surgery) and infraorbital rim silicone implant. Note improved eye appearance.

Eye Shape Change Surgery

Almond Eye Surgery (lower eyelid retraction surgery with canthoplasty) in young patient with inherited lower eyelid retraction and sclera show and eye asymmetry.

Almond Eye Surgery in young patient with inherited lower eyelid retraction, sclera show.

57 year old woman with unsatisfactory quadrilateral blepharoplasty.Diagosis:1. S/P Quadralateral blepharoplasty2. S/P Facial fat grafting3. S/P Hyaluronic acid filler to the upper eyelids4. Post Upper Blepharoplasty Syndrome5. Vertical and horizontal inadequacy of the lower eyelidsTreatment: Staged bilateral lower eyelid reconstruction with hard palate graft, ePTFE orbital rim implant and vertical midface lift.

55-64 year old woman treated with Eyelid Retraction Repair

55 year old with prior unsatisfactory upper and lower eyelid surgery.Staged bilateral midface lift, hand carved ePTFE rim implant, hard palate graft, lateral canthoplasty. Subsequent bilateral crease lowering surgery and ptosis repair.

This patient had ptosis (drooping) of the right upper eyelid and retraction of the left upper eyelid from thyroid eye disease. Surgery was performed in one session to raise the right upper eyelid and to lower the left upper eyelid.

Ptosis repair and eyelid retraction surgery

Lower lid retraction repair, mid face lift, canthoplasty, hard palate graft (hugely improved lower lid position)

45-54 year old woman treated with Eyelid Retraction Repair

Eye bag surgery, or lower eyelid blepharoplasty done by non-eyelid experts can not only pull the eyelids down when lower eyelid support structures are compromised, but can also cause ectropion, or the eversion of lower eyelids. Ectropion can cause irritation to the eyes, and compromise tear and tear film drainage. Restorative revision surgery is a complex procedure that involves anchoring the lower eyelids to bone for renewed support, and skin grafting or Enduragen use to restore lower eyelid skin.

Eyelid retraction (pulled down lower eyelids) and ectropion (everted lower eyelids) revision surgery

53 year old woman with concerns about her eyes after having had unsatisfactory upper and lower eyelid surgery.Diagosis: 1. S/P bilateral lower eyelid surgery with fat grafting 2. S/P Revisional right lower eyelid surgery 3. S/P Bilateral lower blepharoplasty with removal of grafted fat. 4. Vertical and horizontal inadequacy of the lower eyelids Treatment: Bilateral lower eyelid/midface reconstruction in staged surgery with ePTFE orbital rim implant, hard palate graft, and midface lift. Bilateral upper eyelid reconstruction.

Lower lid retraction repairMidface lift CanthoplastyHard palate graft(attn. highly improved lower lid position)

35-44 year old woman treated with Eyelid Retraction Repair

27 year old transgender female, underwent eye transformation almond eye surgery including lower eyelid retraction surgery with canthoplasty, infraorbital rim silicone implant, orbital decompression bulging eye surgery, and upper eyelid filler injection. Before and 1 month after surgery photos are shown.

27 Year Old Eyelid Retraction Repair

Lower eyelid retraction repair: Endoscopic subperiosteal mid-facelift through temporal incision + posterior lamella reconstruction with spacer (hard palate mucosa) graft  + Lateral cathoplasty

55-64 year old man treated with Eyelid Retraction Repair

Secondary (revision) blepharoplasty with eyelid retraction repair: endoscopic subperiostal midfacelift, hard palate mucosa spacer graft, lateral canthoplasty, fat injection

55-64 year old woman treated with Eyelid Surgery, Eyelid Retraction Repair

24 year old male, complained of looking sad and tired due to inherited lower eyelid retraction with negative canthal tilt and droopy upper eyelids (ptosis). He underwent almond eye surgery (lower eyelid retraction surgery using scar-less transconjunctival technique and canthoplasty) and upper eyelid ptosis repair. Before and 3 months after eye plastic surgery photos are shown.

Young male underwent almond eye and droopy eyelid ptosis surgery.

This woman had a poor outcome to her previous lower lid surgery (by another surgeon) with lower lids which pulled down (retracted) allowing the white to show under the iris (colored part of the eye). This is called scleral show and makes the person look wide-eyed. After revisional surgery (cheek lift, canthoplasty, lid elevation) she is much improved.

Eyelid Retraction Repair

47 year old female, with lower eyelid retraction and ectropion after previous transcutaneous lower blepharoplasty, underwent reconstructive lower eyelid retraction repair. Before and 3 months after revision eyelid surgery photos are shown.

47 year old female with lower eyelid retraction repair after previous lower blepharoplasty.

Almond Eye Surgery (lower eyelid retraction surgery with canthoplasty, internal spacer graft) plus lower orbital rim implant (tear trough implant) in a young male patient with inherited lower eyelid retraction and sclera show.

Almond Eye Surgery and Tear Trough Implant in young patient with inherited lower eyelid retraction.

A woman in her 60s with a complex bilateral eyelid problem after blepharoplasty at an outside facility.  She presented with a retracted open right eyelid and ptosis of the left eyelid.  She is now 1 month post-op right eyelid levator muscle release of overly plicated previous blepharoplasty and left eyelid ptosis repair.  Scar minimizing technique employed for a natural appearing result.

65-74 year old woman treated with Eyelid Retraction Repair

28 year old man treated with Blepharoplasty Surgery on upper Right eye to correct drooping.

28 year old man treated with Blepharoplasty Surgery on upper Right eye

Ethnic lower eyelid retraction was repaired using spacer graft.

Man treated with Eyelid Retraction Repair, Eyelid Surgery

She underwent lower eyelid retraction surgery using spacer graft for lower eyelid retraction and lagophthalmos.

17 year old woman treated with Eyelid Retraction Repair, Eyelid Surgery

Lower eyelid retraction repair following lower eyelid transcutaneous blepharoplasty.

35-44 year old woman treated with Eyelid Retraction Repair, Eyelid Surgery

48 year old female underwent lower eyelid retraction repair to correct botched lower blepharoplasty that had resulted in lower eyelids being pulled down.

48 year old underwent Corrective Lower Eyelid Retraction Repair

53 year old woman treated with Lower Blepharoplasty Surgery for puffy lower eyelids.

53 year old woman treated with Eyelid Retraction Repair

Upper Blepharoplasty Surgery to 39 year old female to improve tired, puffy eyelids.

Upper Blepharoplasty Surgery to 37 year old female to improve tired, puffy eyelids.

This is a 65 year old man who was unhappy with his eyelid asymmetry after prior surgery elsewhere. His left lower eyelid was pulled down (retraction) which made his left eye seem bigger than the right. The doctor performed scarless lower eyelid retraction repair by placing a graft from his mouth inside his lower eyelid, thus elevating it to a natural position.

65-74 year old man treated with Eyelid Retraction Repair

This young woman underwent right upper eyelid retraction surgery because of thyroid eye disease. You can see her results with symmetrical eye appearance.

Eyelid Retraction Repair Before & After Photos

245 Eyelid Retraction Repair pictures shared by doctors

Amiya Prasad, MD

Mehryar (Ray) Taban, MD, FACS

Mehryar (Ray) Taban, MD, FACS

Kenneth D. Steinsapir, MD

Kenneth D. Steinsapir, MD

Mark J. Lucarelli, MD

Guy Massry, MD

Amiya Prasad, MD

Kenneth D. Steinsapir, MD

Guy Massry, MD

Mehryar (Ray) Taban, MD, FACS

Ozcan Cakmak, MD

Ozcan Cakmak, MD

Mehryar (Ray) Taban, MD, FACS

Guy Massry, MD

Mehryar (Ray) Taban, MD, FACS

Mehryar (Ray) Taban, MD, FACS

Richard G. Reish, MD, FACS

James R. Gordon, MD, FACS, FAAO

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Mehryar (Ray) Taban, MD, FACS

James R. Gordon, MD, FACS, FAAO

James R. Gordon, MD, FACS, FAAO

James R. Gordon, MD, FACS, FAAO

A.J. Amadi, MD

Ilke Bahceci Simsek, MD

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Eyelid Retraction Repair Before & After Photos

245 Eyelid Retraction Repair pictures shared by doctors

Amiya Prasad, MD

Mehryar (Ray) Taban, MD, FACS

Mehryar (Ray) Taban, MD, FACS

Kenneth D. Steinsapir, MD

Kenneth D. Steinsapir, MD

Mark J. Lucarelli, MD

Guy Massry, MD

Amiya Prasad, MD

Kenneth D. Steinsapir, MD

Guy Massry, MD

Mehryar (Ray) Taban, MD, FACS

Ozcan Cakmak, MD

Ozcan Cakmak, MD

Mehryar (Ray) Taban, MD, FACS

Guy Massry, MD

Mehryar (Ray) Taban, MD, FACS

Mehryar (Ray) Taban, MD, FACS

Richard G. Reish, MD, FACS

James R. Gordon, MD, FACS, FAAO

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Ayse Dolar Bilge, MD

Mehryar (Ray) Taban, MD, FACS

James R. Gordon, MD, FACS, FAAO

James R. Gordon, MD, FACS, FAAO

James R. Gordon, MD, FACS, FAAO

A.J. Amadi, MD

Ilke Bahceci Simsek, MD

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