Still Have Asymmetry and Droopy Lower Lids After Bleph., What Is The Best Type of Revision?

The lower lids are retracted, likely from two factors.  One is scarring in the lower lids with tightness of the skin. The other is weak orbicularis muscle, which is responsible for closing the eyelids.  The latter cannot be fixed. The former can be improved by revisional surgery, using a midface lift technique with graft on the back part of the eyelids.  Consult an oculoplastic surgeon.

Hi,

Is it possible you have labeled pictures wrong? It seems to me that your before pic is your after. At any rate, if you are having droopy lower lids a lateral canthus stitch can be placed to 'bring up' the lower lid. It would be best to consult with a Board Certified Plastic surgeon so that you can be properly examined and be provided with the best possible solution to your issues. Best wishes, Dr. H

You ask a good question but the answer is see a knowledgeable Oculoplastic surgeon who has experience correcting complications of eyelid surgery.  Nothing can replace a hands on examination.  Good luck.

Your before surgery show sagging loer lid with sclera show. Your after picture is while smiling and not a good way to compare to before picture. I would leave them alone based on your pictures.