After lower bleph, my left eye appears to be pulled down. I can't quite close it. Doctor says this is due to scarring. Advice?

Question

I am three weeks out from surgery, and it looked great last week. Now, my left eye looks wider than the right eye. My doctor said this was due to scarring and to massage the left lower lid, but it's hard to massage as the left lower lid is stiff. I keep poking my eye because the bottom lid is hard to move. Has anyone else has had this problem after lower lid blepharoplasty? How long before the eye goes back to normal? Or is this permanent?! Any tips or reassurance that this can be resolved?

Kenneth D. Steinsapir, MD · Answer

Unfortunately massage and time will not resolve your issue. It is possible that a series of 5-FU injection treatments could modify the scar. You are very early and it is possible that even at three weeks, the eyelid could be explored to release the scar in the eyelid. An immediate surgery is really need for that and there would be no guarantee that it would resolve the issue. A detailed personal assessment would be very helpful to answer this question. If you delay this option, and it can be difficult to move forward with this option, the alternative would be to wait about 6 months and then have a complex lower eyelid reconstruction. I am attaching a video of this type of work. Avoid steroid injections for this. It tends to kill off orbital fat and make additional problems.

EYELID SURGERY PROVIDERS NEAR YOU

After lower bleph, my left eye appears to be pulled down. I can't quite close it. Doctor says this is due to scarring. Advice?

Answers (1)

EYELID SURGERY PROVIDERS NEAR YOU