What kind of revision surgery should I get after botched upper eyelid bleph? (Photo)

Question

I got an upper Bleph 1 1/2 years ago and got scars and indentations left (inner part) on my upper lid. What really bothers me the most is the indents around the inner corner of my eyes and the dark pigmented scar across my left lid. I’m hesitant to get another Bleph to correct it, my fear is that too much is skin will be removed which was already the case in the first place. What other procedure would you recommend getting (epicanthoplasty & scar revision on the dark pig. scar) perhaps?

Kenneth D. Steinsapir, MD · Answer

First, I am so sorry that you are in a situation where your eyelid surgery must be fixed. No skin needs to be removed from the eyelid. You have bilateral upper eyelid ptosis, a high (and irregular upper eyelid crease), crepey upper eyelid skin, upper eyelash ptosis, and a compensatory eyebrow elevation. The upper eyelid crease needs to be lowered, the ptosis repaired, the crepey upper eyelid platform skin controlled, and the upper eyelid lashes supported. With the repair of the ptosis, the eyebrow will tend to relax down and that will help hide the old scars under the fold. You can get a sense of this by studying your photos when you are looking up. I am attaching a link to an article I wrote on the Post-Upper Blepharoplasty Syndrome and a video with graphic video that shows how I perform this surgery. There is no substitute for a detailed personal assessment. Faith in my office can also provide you more information without obligation. Your eyes can be your best feature.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

What kind of revision surgery should I get after botched upper eyelid bleph? (Photo)

Answers (2)

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Everything you need to know about Eyelid Surgery

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What kind of revision surgery should I get after botched upper eyelid bleph? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.