Webbing and puckering on both outer edges of eyes following bleproplasty? (Photos)

Puckering the patient describes appears to be due to the normal anatomy of the orbicularis muscle and skin. This is completely normal and can be improved by Botox and/or laser. The webbing which occurs with extreme elevation of the eyebrow is due to scarring and shortening of the skin. This may be improved with injections or other means but after 18 months it is unlikely to change very much. Mechanical stretching of the skin over a long period of time may help. It is important to realize however that as we age there as a tendency for the lower eyelid to sag and cause exposure problems. There is a fine balance between too much and too little tightening. The webbing the patient demonstrates may be helpful in preventing the sagging.

there is an easy correction called a jumping man flap or even a z plasty to loosen the tight band across your eye. It is a local anaesthetic procedure and takes 10 mins per eye. Ask someone who knows about this technique and they will happy to treat you. Hope that helps. Adam Goodwin