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.

I'm sorry for your situation.  Although the pictures are helpful, actually feeling the tissue and where it is tight or not in person is the best.  At the least, a canthopexy would be beneficial, but more procedures may be indicated based on what the examination shows.  In addition to Dr. Fagien who was recommended earlier, Dr. Michael Patipa in West Palm Beach is well known for his work in this area.  

 

Best of luck! 

I'm very sorry you have had these problems, and you need to realize that the reparative procedures recommended are quite aggressive but likely indicated.  I strongly suggest you find a surgeon with whom you feel very comfortable.

It's clear that you have lower lid malposition and mild eversion of lid margin. The best evaluation is an in person examination where the skin laxity, lower lid muscle dynamics and scar tissue can be assessed. The revision is based on identifying the source of the problem. Your original surgeon may have the best insight to the source of the problem. In general if you have adequate tissue then canthopexy may be enough. Cheek lift may add additional soft tissue support. If on exam you have a shortage of skin or internal tissue, then skin graft or spacer graft may be necessary. Try to identify the source of the problem then the solution will become more straightforward.
Best Wishes,
Stewart Wang, MD FACS, Wang Plastic Surgery

It appears clear from the images provided that you have symptomatic post surgical lower lid retraction which will likely require further surgery to correct.  This may involve an extended lower lid blepharoplasty with cheek elevation and possibly tarsal strip procedures.  However, before you choose your next Surgeon, I would challenge you to analyze your motivations for choosing Strax for the first procedure. Revision lower lid procedures can be complex, so I would encourage you to make your decision based on the skill, results, and reputation of the individual Surgeon.

Photos are helpful, but only an examination can determine what is really going on. It is also hard to say without seeing your pre-op photos. Speaking generally, blepharitis and lid malposition can both cause discomfort after a blepharoplasty. If this is what is going on, a canthopexy may be a reasonable treatment. If too much skin was removed, then you may require a skin graft to allow your lower lid to be raised up. Again, my answers are not specific to your particular situation.

Bad results from blepharoplasty with pain and ectropion, etc. I would need to see you to judge the mobility of your eyelids to tell you if a mid face lift etc. would be possible to bring enough tissue upward to correct your problems.

Sorry for these issues and your choosing STRAX for a cosmetic operation. There history of results speak for themselves. I recommend seeing Dr Steven Fagien in Boca Raton, FL. And understand the fees to correct will be very high. Best of luck. 

Your photos appear to show lower lid malposition which could potentially be corrected by canthopexy alone.  Without an exam it is not possible to tell with any certainty whether grafting may be needed but it seems unlikely based on the photos.