I need to have a second surgery because my first eyelid surgery did not go well. I have ectropion in one eye. My doctor wants to perform a procedure that he invented. He wants to stitch my eye to my eyebrow shut for over a week. If this works it will be great, but won't this make it worse and create many new scars? Has anyone heard of this procedure? What other options are there for me?
December 27, 2014
Answer: There are many techniques to fix ectropion after eyelid surgery Repair of ectropion after blepharoplasty can be challenging. As with most things preventing the problem in the first place is advantageous over any form of repair. Fortunately, many standard techniques have been developed to repair this problem. This would depend upon the cause of your particular difficulty. The causes include excess skin removal, excess postop swelling and inflammation, inappropriate applying of cold compresses after surgery. The standard technique is to release the lateral canthus and re-suture it its normal anatomical position. Very seldom are more invasive procedures such as skin grafts needed. Another important point is that early repair is better than late repair. If your physician identifies this problem earlier on, attention to the difficulty in the first few weeks is much easier than later. I wish you all the luck.
Helpful 1 person found this helpful
December 27, 2014
Answer: There are many techniques to fix ectropion after eyelid surgery Repair of ectropion after blepharoplasty can be challenging. As with most things preventing the problem in the first place is advantageous over any form of repair. Fortunately, many standard techniques have been developed to repair this problem. This would depend upon the cause of your particular difficulty. The causes include excess skin removal, excess postop swelling and inflammation, inappropriate applying of cold compresses after surgery. The standard technique is to release the lateral canthus and re-suture it its normal anatomical position. Very seldom are more invasive procedures such as skin grafts needed. Another important point is that early repair is better than late repair. If your physician identifies this problem earlier on, attention to the difficulty in the first few weeks is much easier than later. I wish you all the luck.
Helpful 1 person found this helpful
November 29, 2015
Answer: Fixing ectropion after eyelid surgery? Eric, This is I believe your second posting on this website and like others of my colleagues I think it is safe to say we are getting an uneasy feeling reading your posts. In your previous post, you were advised to best wait 5-6 months or so until the swelling subsided and the eyelid tissues became supple and handled normally again. A successful ectropion repair depends on correction of THE CAUSE of the ectropion be it scar, looseness or muscle paralysis. With either removal of too much skin and or scar pulling your lid down and away from the globe, the lower lid scar needs to be interrupted and removed while a SPACER needs to be placed under the lower lid cartilage stiffener to keep it up and against the globe. Such graft spacers can come from multiple sources (including the roof of your mouth) and span the space from the rim of the orbit to the bottom of the lower tarsal plate. Unless your surgeon's name is Dr. Frost and he is a VERY old man, odds are he is NOT the inventor of the suspensory suture keeping the lower lid lifted while preventing scarring from pulling the lid down again. This has been used in eyelid surgery for MANY years. your best bet - again - is to wait more than 3.5 months for the eyelid to mature and then be seen by SEVERAL surgeons who specialize in eyelid surgery. Do NOT jump into this. Good Luck.
Helpful 1 person found this helpful
November 29, 2015
Answer: Fixing ectropion after eyelid surgery? Eric, This is I believe your second posting on this website and like others of my colleagues I think it is safe to say we are getting an uneasy feeling reading your posts. In your previous post, you were advised to best wait 5-6 months or so until the swelling subsided and the eyelid tissues became supple and handled normally again. A successful ectropion repair depends on correction of THE CAUSE of the ectropion be it scar, looseness or muscle paralysis. With either removal of too much skin and or scar pulling your lid down and away from the globe, the lower lid scar needs to be interrupted and removed while a SPACER needs to be placed under the lower lid cartilage stiffener to keep it up and against the globe. Such graft spacers can come from multiple sources (including the roof of your mouth) and span the space from the rim of the orbit to the bottom of the lower tarsal plate. Unless your surgeon's name is Dr. Frost and he is a VERY old man, odds are he is NOT the inventor of the suspensory suture keeping the lower lid lifted while preventing scarring from pulling the lid down again. This has been used in eyelid surgery for MANY years. your best bet - again - is to wait more than 3.5 months for the eyelid to mature and then be seen by SEVERAL surgeons who specialize in eyelid surgery. Do NOT jump into this. Good Luck.
Helpful 1 person found this helpful