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I would recommend that you discuss your concerns with your surgeon and see if there are any other specialists that you would benefit from seeing. You may need to be examined and treated by an ophthalmologist.
You are in trouble here. You need the help of an oculoplastic surgeon or a cornea specialist to manage your dry eye. You have mechanical eyelid changes that to be suggest the eyelids were aggressively weakened at the time o f surgery. You may benefit from reconstructive surgery to address these issues. The key will be how you respond to medical management of the eye irritation. In my opinion, it is challenging to get the right surgical care for this in the Atlanta area.
It is extremely important during the preoperative planning to determine if you are a patient that is high risk for developing post operative dry eye syndrome. Our practice has partnered and works very closely with a board certified opthamologist for our blepharaplasty procedures. I encourage that you speak with your plastic surgeon about your concerns and determine if you may benefit from also being treated by a board certified opthamologist.
You have significant issues. It appears that you have had surgical weakening of the structures that help support and close the eyes. You may have had a pre-existing dry eye prior to surgery, but whatever transpired has made the situation worse. Your symptom complex appears to describe a corneal ulceration/exposure keratitis.Please see someone who is versed in treatment of the situation. It ATL...look up William Silver.
Although common for a brief period following surgery the symptoms of dry eye and photosensitivity at 9 weeks merits further investigation and perhaps aggressive treatment and even surgery.Photos suggest that extensive surgery has already occured, including the possibiity of canthoplasty/canthopexy and even cheek suspension through a palpebral incision. The incidence of symptoms following such surgery is increased and merits further investigation. Seek help from your surgeon first and if not forthcoming then get a second opinion. Board certification in ophthamology does not necessary imply competence in caring for such problems and the patient should seek a surgeon (oculoplastic or plastic surgeon) who has extensive experience in dealing with such problems.
Since you are now 9 weeks post op I would go and see an opthalmologist to have your eye examined.It sounds like you may have a corneal abrasion and some eye drops and patching may be all that is needed.
ED patients have a weakness of their skin and connective tissues that provide support. Due to these characteristics it is not unusual for ED patients to present for facelift consultations. Facelifts are not contraindicated for ED patients but the consultation must discuss that the aesthetic...
Your photos show a marked improvment over the 10 day interval. I would give it more time and be sure to use cold compresses or other measures as directed by your surgeon. Worrying will not help. Give everything a chance to settle down and then discuss with your surgeon. All the Best
For this reason, no general answer can be safely offered to you. I suggest in your search for revisional surgery you seek multiple opinions regarding what is the best approach or option for you. Be careful what you look for out there.