What caused the gap in the inner corner of my eye after blepharoplasty? Can this be fixed? (photos)

Question

It's been over a year since I had an upper bleph. And I am so discouraged. I consulted with a scar massage "expert" and am now working to undo the damage I created from that. This explains why my scars are visible. However my question is this...What was there before the scar massage is a gap on one of my inner corners. It is not there on the other eye. Anything I can do to fix this?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Kenneth D. Steinsapir, MD · Answer

Do avoid getting into an argument about "scar massage expert," let just agree that there is no such think that there is no such thing as "scar massage expert" when it comes to eyelid massaging. Generally I do not recommend eyelid massage except for certain very particular circumstances. It is my opinion that many patients are advised to massage the eyelid for almost any reason and this is almost always not helpful. In some cases, it can actually be damaging. For example it can contribute to the crepey eyelid platform skin in your upper eyelid. The inner medial canthal "gap"--let's call it a cleft is likely what is left of your eyelid crease. I say likely because I do see eyelids that have an independent cleft and it is not at all clear that it is actually part of the crease. It would have been ideal of your eyelid surgeon had incorporated this cleft into your upper eyelid crease ( and actually structured your eyelid so that it did crease). It would be helpful to know if the upper eyelid does crease when you are looking straight ahead. I am doubtful because that seems no real structure to your upper eyelid platform. If the surgical crease was anchored to the underlying levator aponeurosis, one would expect to see some crease detail here, which is missing. In my opinion, you should immediately stop massaging the upper eyelids and consider a detailed consultation with someone who knows something about reconstructing an upper eyelid fold.

What caused the gap in the inner corner of my eye after blepharoplasty? Can this be fixed? (photos)

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What caused the gap in the inner corner of my eye after blepharoplasty? Can this be fixed? (photos)

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.