abnormal/peaked eyelid contour after ptosis surgery (photos)

A peaked eyelid can occur after ptosis repair where one of the sutures may be pulling too much.  Early on massage inferiorly over this area may help.  You are still in the early healing phase, so your surgeon may wish to open the wound in that area to release the suture which will help to drop the lid.  This is easier to do at this stage than waiting for full healing, so go see your surgeon and discuss this.

Generally this needs to be dealt with as soon as it is noticed.  We try to detect this on the operating room table and this is one of the reasons oculoplastic surgeon favor intravenous sedation over general anesthesia to reduce the risk of developing this type of a peaked eyelid.  The sooner in time this is addressed, the easier it is to deal with.  When it develops within a week of surgery, it is usually helpful to open the eyelid stitches and remove the levator suture that is causing the eyelid to be peaked.  Some advocate for aggressive massage of the eyelid and this can be remarkably helpful.  At three weeks, this might respond to massage but you might also need to have the eyelid explored to reduce the peak.  I really encourage you to let your surgeon know what is going on and see if they recommend corrective action.  The sooner the better, in my opinion.