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Lower eyelid retraction swelling and lump. Is my body rejecting the graft?

mcaudioMay 29, 2023
I had lower eyelid retraction surgery 2 months ago using acelluar demal matrix. Under my eyelids are extremely puffy looking still and feel very firm/hard feeling to the touch. I can also see a visible lump poking through one of the eyelids but was advised that this is the suture dissolving. Is my body rejecting the graft? Here's a similar post to what i'm going through. https://www.realself.com/question/tampa-florida-canthoplasty-lower-eyelids-graft-thickening-swollen-spacers

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From board-certified doctors and trusted medical professionals
Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
4.6 | 84 Reviews
Answered on May 31, 2023
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Ayse Dolar Bilge, MD

Excessive scarring can cause retraction as well. Massage and 5 fu injections may help. Lower eyelid lift in one eye can be another possibility as transconjunctival blepharoplasty may cause lower eyelid retractors release and lower eyelid lift.

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A.J. Amadi, MD

Retraction repair after previous surgery or trauma is one of the most challenging and unpredictable surgeries we encounter in both cosmetic and reconstructive surgery due to the previous scarring in the area. Some cases of retraction can be addressed by releasing the lower lid retractors and...

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Kenneth D. Steinsapir, MD

Tarsys uses decelluarized pig collagen to create a tissue scaffolding. This is used as a space graft. In my opinion it is not a reliable spacer graft. Additionally, I have seen cases of persistent tissue swelling that necessitated the removal of the graft. I have not seen this type of persistent...

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Randal Haworth, MD, FACS

Scleral show occurs when the lower eyelid rests too low, exposing the white of the eye below the iris. There are several ways to address this issue, including surgical and non-surgical options. Non-surgical options include using temporary filler injections, such as hyaluronic acid-based...

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A.J. Amadi, MD

Your description and your photos aren't quite clear: Can you label which ones are before and which are after surgery? Also, are you unhappy with the position of both lower eyelids or just one?

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