Lagophtalmus and Hollow-Eyes after blepharoplasty - Options? (photos)

Question

I have had blepharoplasty in January. The result is very depressing. I can't close my left eye. During nights my eye sopened and I need to tape and protect. Beside this, I suffer from Hollow-Eyes as too much fat has been removed and no lid creases. Please, is there any help? Can it only be fixed by skin graft? My face lost its naturality. and I can't sleep. Thank you for help!

Jill Hessler, MD · Answer

Lagopthalmos occurs when too much skin is removed from the upper eyelid and the eye can't fully close. It can also occur due to temporary muscle weakness of the orbicularis eye muscle. I would recommend you follow-up closely with your surgeon. Proper hydration is critical for the eyes to prevent damage with hydrating eye drops and ointment.

Thanapoom Boonipat, MD · Answer

Yes, fat grafting and redo blep with levator attachment will help. Your presentation is classic for a post blepharoplasty syndrome where too much skin and fat was removed. If you are not ready to do another blep, a good start is fat grafting to address the hollowness. It can sometime also correct and lower the lid slightly.

Lagophtalmus and Hollow-Eyes after blepharoplasty - Options? (photos)

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