Is lagophthalmos after ptosis surgery (resulted with overcorrection) curable? Or are we condemned to that?

Question

I had congenital ptosis surgery 2 months ago. Overcorrection settles down time by time. But! Lagophthalmos is the biggest problem. Maybe the reason is overcorrection that I still have? Will the eyelid fully close in 3-4 months? Or will it stay like that? What are the general result in these cases? Is it possible to have lagophthalmos even for several months post-op, then being healed? Or should I wait for another operation (if there's any way to correct it) ? Thank you in advance.

Alejandro Nogueira, MD · Answer

Not sure if enought, but in my experience the Fasanella Servat procedure (probably you have received this) adapts and settles with time to the right correction; if frontal suspension technique was used then it will not correct, and you'll need a touch up to release the tension of the slings.

Bram Kaufman, MD · Answer

Your question is a very good one. The answer depends in large part on what type of correction you had, as there are several approaches. Revision surgery for ptosis under/overcorrection is not that uncommon. Whether or not it can or should be done earlier or later is best answered by your surgeon. However, eventually you should end up where you need to be. BRK

Is lagophthalmos after ptosis surgery (resulted with overcorrection) curable? Or are we condemned to that?

Answers (2)