Bad Results from Blepharoplasty? (photo)

You appear to have bilateral lower eyelid retraction.  That could be due to contracture/tightness in different layers of the lower eyelid and I cannot tell without examination.  Canthopexy or canthoplasty alone will NOT fix the problem.  See an oculoplastic surgeon.

    Only an exam can determine what is possible to help your situation.  Debilitating pain and the blepharitis issues need to be sorted out as well.

Thank you for your question. Since eyelid surgery is among the top three or four cosmetic surgeries performed in the U.S., cases like yours happen more often than cosmetic surgeons like to admit.  Since I specialize in cosmetic surgery on the eyes and face, I've had many patients from around the US and the world come to me for corrective surgery, often after undergoing two to three revision surgeries with different doctors.


Judging by the pictures you submitted, your lower eyelids got pulled down after surgery, which is called lower eyelid retraction. When this happens your lower eyelid is positioned too low, so you suffer irritation from tear film and dryness, and your appearance also suffers.  Some doctors may try revising this with a mid-face type of lifting, canthoplasty, tuck-up or lifting procedures, but these tend to lead to more scarring and can cause the eyelids to be pulled down further.


Your situation can be resolved, but there are  three important things to consider: anchoring  the outer corner of your eye which is made up of the lateral canthal tendon, restoring vertical support through the eyelid muscles and tissues, and having enough skin for the eyelid to be restored to its proper position.  Skin is often lost in the desire to reduce wrinkles and improve skin tone, so skin grafting can be an option. Having these three factors can get  your eyelids to look good and function well, which is a principle I teach to surgeons I train.


If I were to evaluate you physically, I would move the eyelid up to feel how much scar tissue there is, and also see how limited or restricted your skin is before undergoing a personalized procedure. I advise you to find an experienced specialist to resolve your issues and hopefully help you make the right decision.  Thank you for your question, and I wish you the best of luck.