Left lid looks different - Is the difference enough to justify a revision? (Photos)

Question

I had an upper bleph and ptosis surgery in April. My left eye really Bothers me in photos. But I don't know If the difference is enough to justify requesting a revision or how I should approach it with my surgeon. My lid looks heavy on the top outer part and the center part of my lid is wonky too.

Kenneth D. Steinsapir, MD · Answer

The first photo shows bilateral upper eyelid retraction which is worse the anatomic left side in this image (assumes you have not reversed the images). In the second image pair, both upper eyelids are heavy with a relatively flat upper eyelid contour, the other eyelid demonstrates peaking of the upper eyelid just later to the lateral limbus—where the colored part of the eye meets the white of the eye. Should you have your original surgeon fix this? I can almost guarantee that your surgeon will tell you nothing is wrong and no revision is needed. What you actually need can only be determined based on a very detailed, in person assessment. Although photos are suggestive, that can replace a detailed assessment.

Tanya T. Khan, MD · Answer

Hello, it looks as if the contour of your upper eyelids is slightly off-center on each side. This may be due to the ptosis sutures being placed too far outward instead of right above the pupillary center. Can consider a revision to help correct this contour. Please visit an oculofacial plastic surgeon for best results.

Darryl J. Blinski, MD · Answer

Photos show generalized acceptable results. The very slight differences are more to the eyebrow locations causing the different appearances . Might try Botox unilateral to gain even eyebrows or eyebrow lift. Best yo virtual . Fees from $500-$2,000

Left lid looks different - Is the difference enough to justify a revision? (Photos)

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