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Ptosis surgery - bad result. What are my options? (Photo)

mdjrjrjApr 22, 2024
Hi I had external levator surgery for ptosis on Right eye. After 4 weeks i see the crease is too high and the lid apprears to be still little droppy. Eyes are totally asymmetric What are my option? How do you fix this?Surgery was March 21

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From board-certified doctors and trusted medical professionals
Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 79 Reviews
Answered on Apr 23, 2024
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Kenneth D. Steinsapir, MD

You have bilateral upper eyelid ptosis with compensatory eyebrow elevation. You just happen to have one eyelid that is heavier than the other (common) and on that side your eyebrow is higher to compensate. Ptosis surgery corrects the eyelid margin position and will allow the compensatory eyebrow...

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Kenneth D. Steinsapir, MD

I am skeptical that you had "maximal" advancement of the anterior levator. Meaning you likely have a real probability that revisional surgery would be beneficial. It appears that more could have been done to control the eyelid platform which appears to still contain redundant skin and muscle...

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Soheila Rostami, MD, FAAO, FAACS

The photo from 2020 is a great photo, but the rest of the photos are either while you squinting or smiling. You have to have exact same photo as the 2020. But if your eyes are not as open as 2020, you have mild ptosis of both eyes.

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Kenneth D. Steinsapir, MD

You may also have a lateral canthal disinsertion. Most eye plastic surgeons you encounter are likely to offer you posterior approach ptosis. However, I suspect that you also need an anterior approach upper eyelid ptosis with an anchor blepharoplasty to control the upper eyelid fold. Do not let a...

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Kenneth D. Steinsapir, MD

You have included two eyestrip pictures. Once showing a lateral tethering with definite lateral eyelid contour peaking. In the other eyestrip, the eyelid contours look normal with one eye a bit heavier than the other. The first question is the appearance of over correction only present when you...

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Kenneth D. Steinsapir, MD

The reason for this is simple. Leaving the lower eyelid where it is and fixing the ptosis will exacerbate dry eye. It makes much more sense to first fix the lower eyelid retraction before repairing the ptosis. Do not have a Muellerectomy, It will not correct your upper eyelid ptosis. Many of...

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