After Ptosis Surgery Consultation

Generally apparent under-corrections tend improve as the swelling resolves.  Over-corrections are an entirely different kettle of fish.  Of course we always await for the end of the week before taking action.  However, I urge you to call and speak to your surgeon today.  This is not an emergency but by contacting your surgeon, you are putting them on notice that you are seriously concerned about what is going on.  Some surgeons might even see you on a Saturday to understand what is going on (definite bonus points if they do), others will arrange to see you on Monday.  Either way, you need to have your surgeon assess what is going on.  At a week, I might be tempted to take you back to surgery and lower the placement of the stitches that are holding up the eyelid.  However, there is more than one way to approach this but the key is direct management by your surgeon.  Please call and speak with them today!

Looking at your photos,iIt is unlikely your overcorrection will improve. In fact, it might get worse as healing/scarring settles in. (This is unlike undercorrection, where it usually improves as swelling subsides.) You should contact your surgeon as soon as possible for possible correction.  You should also consult an oculoplastic surgeon.

Dr Taban

no, you are overcorrected and I'm guessing your procedure was not done under local anesthetic and instead under general. the problem is estimating how much to correct is tricky, especially in congenital ptosis with a weak motor (levator muscle) and having the ability to check the repair with pt initiated eye opening is priceless. It will more than likely not improve spontaneously, unlike the appearance of undercorrection which improves as the swelling subsides. call your surgeon, overcorrection is so common, that there is a separate CPT (billing) code just for correction of overcorrection, so don't worry. but you have to let him/her know ASAP.