I have dog ears after my Blepharoplasty and It has been over 1 year. Should I ask for a revision? (Photos)

Question

I am 13 months post op and have excess skin around my upper eyelid incision. Can you tell if this is hypertrophy or if the surgeon left more excess skin than necessary? My surgeon suggests steroid injections to reduce the fat which he says will also end up reducing some of the skin. I'm not sure if I should move forward with the suggested steroid injections or ask for a revision. What are the risks with both? (I've attached old photos weeks after surgery as well as a photo of how it looks today)

Kenneth D. Steinsapir, MD · Answer

For that, we need a picture of you with your eyes open.  Your anatomic issue is unusual and I would not call this a dog ear.  Your eyelid platforms are too long with a crease that is set far too high.  It is possible to lower the upper eyelid crease.  This would crease a much more harmonious upper eyelid.  It is improbable that the surgeon who created this result will be able to repair the eyelid.  SImply removing this fold of skin will only make your crease even higher.

John Michael Thomassen, MD · Answer

The effect of steroid injections can be a bit unpredictable.  I would recommend revising the scar surgically as you have given it enough time to mature at this point.

Curtis Perry, MD · Answer

Your appearance is not a "dog ear" but at over a year it is definitely time to get that corrected. Without a careful exam I can not give a specific recommendation.

David F. LaPatka, MD (retired) · Answer

LadyWIt looks like the incisions have hypertrophied . I believe your surgeon was going to inject the scar tissue and not " the fat"  . If the steroids don't help then a revision with just excision of the scar would be the next step . Using some type of topical such as " scar fade gel " or similar would be used following the revision excision .Close follow up with your surgeon to inject dilute steroids if a scar starts again. Sounds like your surgeon is on the right trackBest David LaPatka,M.D.,F.A.C.S.

I have dog ears after my Blepharoplasty and It has been over 1 year. Should I ask for a revision? (Photos)

Answers (4)