Can tarsal fixation be reversed?

Question

I had right eye ptosis surgery and fixation of the incision to the levator to create a defined lid crease (tarsal fixation). The ptosis is gone, but I think the incision and tarsal fixation was done a little too high. My left (normal) eye is hooded which I like, but the right (operated) eye crease seems higher and there is more eyelid tarsus exposed. I think the fixation was done too high. Can the tarsal fixation be undone and the adhesions of the skin to the levator be released a bit?

Kenneth D. Steinsapir, MD · Answer

You did not provide photographs so it is impossible to fully appreciate your concern.  Generally to have an anterior levator ptosis repair, the levator tendon must be fixed to the tarsal platform.  That is poorly appreciated by ptosis surgeons is that this is also an opportunity to lower the upper eyelid crease.  I revise many eyelids after multiple ptosis procedures.  For this reason, I encourage you to let the eyelid heal and if it is still unsatisfactory after a few months, consider coming out to Beverly Hills for a detailed assessment by eyelid experts like myself.  It is possible to get several opinions during one visit which will help you decide how to proceed.

Can tarsal fixation be reversed?

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