What's the best way to fix a botched eye lift. What are the best fixes in my situation? (Photo)
Doctor Answers 6
Eye lift revision options
Im terribly sorry to hear about your ordeal and all that you have been through with your surgeries. Im sure it is incredibly stressful, especially considering your daughter's wedding.
I would be curious to see exactly what your surgeon did during the original procedure. In looking at your photos, it seems as if perhaps he took a significant portion of the orbicularis muscle, especially laterally on the left. If you feel as if your lids are heavier, I also wonder if the levator mechanism was also damaged.
It also looks like part of the problem laterally and inferiorly is peri-orbital volume loss. It sounds like you have attempted to correct this with filler. Due to scarring around the eye, it may be difficult to get traditional hyaluronic acid fillers in the correct location. I have worked with different fillers for scars and often contractures and adhesions can be challenging to fill properly.
Fat grafting would be a consideration in helping restore volume around your eye. I have helped some patients who were unhappy after blepharoplasty with this technique. It is important to have someone experienced with fat grafting as the periorbital area is very unforgiving with improper graft placement.
Another thought would be utilizing the Deep FX laser with topical Sculptra to improve the skin texture laterally and then stimulate collagen production to help with volume. This is on off-label use for both techniques. A recent publication from the journal Dermatologic Surgery showed excellent results for scarring with volume loss.
It is difficult to make an accurate recommendation based solely on photos, so please keep in mind these are only considerations based on photo impressions. A thorough exam is critical.
As a last thought, your eyes are actually very attractive, despite having a bad surgical outcome. Perhaps additional surgery is not the answer.
I wish you all the best in your search, and hope you find this information helpful.
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