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Upper and lower blephoplasty and a brow-lift 7 months ago. Does my case look complicated? Will Canthopexy be enough? (photo)

Practical287614Mar 29, 2024
Hello, I had and upper and lower blephoplasty and a brow-lift 7 months ago. Does my case look complicated? I read a journal study in which 1000 or so cases of people with mild retraction were treated successful with only a canthopexy. I am hoping its this simple for me. What I fear may complicate having symmetry after repair is that one eye is worse (that one that looks like its a glass eye) under that I i notice the lower lid is tighter (perhaps from the scar tissue?) and the other is more lax.

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Apr 30, 2024
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Kenneth D. Steinsapir, MD

I am so sorry you have these issues but there is help, You can stop massaging the lower eyelids. This generally is ineffective and it is not helping you. Both lower eyelids need reconstruction. I recommend the use of a vertical midface lift supported by a custom made ePTFE orbital rim implant. A...

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Kenneth D. Steinsapir, MD

This situation may not change much. However it will settle and that settling process may help you get to a place were you are happier with your reconstruction. In viewing your images (thank you for posting them), I think your lateral canthal angles could be lower and more laterally placed. The...

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Kenneth D. Steinsapir, MD

Without photographs it is impossible to offer much of an opinion about this. At two weeks you are still swollen from surgery. It literally can take months for this swelling to resolve. Until that time, it is challenging to assess the result. It is possible to over correct a lower eyelid....

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