The doctor did the opposite of what I wanted. What are my options? I really can't afford a revision and it was dreadful not wearing makeup for 6 week, but I'm so sad that I can barely function. This was well out of my price range, but I figured it would be worth it because it was a reputable doctor with excellent reviews. But I hate these so much and I should be almost done healing by now (28 yrs old) What did he do wrong? What do I do? (Besides wait, obviously)
Answer: I suspect that your surgeon has told if you asked that the surgery is great or you just need to be patient. The upper eyelid demonstrate classic Post Upper Blepharoplasty Syndrome. This syndrome includes a high or indistinct upper eyelid crease, upper eyelid ptosis, upper eyelid lash ptosis, crepey upper eyelid platform skin (makes it hard to hold makeup on the lid), and compensatory eyebrow elevation. The eyelid ptosis is caused when the eyelid heals after removal of upper eyelid fat. The tissues contract pulling the central leavtor aponeurosis out of position. I am attaching a video below about how this is corrected. Generally it is best to let the eyelid tissues heal for a full 6 months. There are surgeons who would inject the upper eyelid fold with hyaluronic acid fillers but that does not correct the upper eyelid ptosis and it does not fix the eyelash ptosis. The heavy upper eyelid margin and lash ptosis makes the eyes look dull and lifeless. The lower eyelid also demonstrates lower eyelid retraction. I do not agree that lid massage will fix this. I also think it will get mildly worse as the eyelid heals. A detailed personal assessment is needed to determine if you might benefit from lower eyelid resuspension or if you will need a very complicated lower eyelid reconstruction. It will be useful to have that consultation in about 2 months but some people need to be seen immediately for reassurance that they are not crazy and that there is help for them. Unfortunately, yes this work is very technical and very few surgeons understand eyelids well enough to fix these issues , let alone understand what is going one here.
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Answer: I suspect that your surgeon has told if you asked that the surgery is great or you just need to be patient. The upper eyelid demonstrate classic Post Upper Blepharoplasty Syndrome. This syndrome includes a high or indistinct upper eyelid crease, upper eyelid ptosis, upper eyelid lash ptosis, crepey upper eyelid platform skin (makes it hard to hold makeup on the lid), and compensatory eyebrow elevation. The eyelid ptosis is caused when the eyelid heals after removal of upper eyelid fat. The tissues contract pulling the central leavtor aponeurosis out of position. I am attaching a video below about how this is corrected. Generally it is best to let the eyelid tissues heal for a full 6 months. There are surgeons who would inject the upper eyelid fold with hyaluronic acid fillers but that does not correct the upper eyelid ptosis and it does not fix the eyelash ptosis. The heavy upper eyelid margin and lash ptosis makes the eyes look dull and lifeless. The lower eyelid also demonstrates lower eyelid retraction. I do not agree that lid massage will fix this. I also think it will get mildly worse as the eyelid heals. A detailed personal assessment is needed to determine if you might benefit from lower eyelid resuspension or if you will need a very complicated lower eyelid reconstruction. It will be useful to have that consultation in about 2 months but some people need to be seen immediately for reassurance that they are not crazy and that there is help for them. Unfortunately, yes this work is very technical and very few surgeons understand eyelids well enough to fix these issues , let alone understand what is going one here.
Helpful 5 people found this helpful
May 25, 2019
Answer: Droopy upper and lower eyelids It appears you have upper lid ptosis and lower eyelid retraction but best to communicate with your surgeon and see an oculoplastic specialist.
Helpful
May 25, 2019
Answer: Droopy upper and lower eyelids It appears you have upper lid ptosis and lower eyelid retraction but best to communicate with your surgeon and see an oculoplastic specialist.
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May 25, 2019
Answer: Post 4 eyelid blepharoplasty Your upper lids look like they are healing fine - you didn't have much skin to remove in the pre picture, and seem to have minimal swelling there.For the lower lids - not sure why anything was done here in the first place as you don't appear to have much aging in this one photo. You now have lid retraction so you can see some of the sclera laterally on both eyes. This is from the skin excision. In a young person it will be rare that there is sufficient laxity of the skin that it can safely be removed without pulling down on the lid. With time and massage you may be able to get the outer corner to lift up a little. If not would need a revision, but need someone very skilled in this surgery to have it done well.
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May 25, 2019
Answer: Post 4 eyelid blepharoplasty Your upper lids look like they are healing fine - you didn't have much skin to remove in the pre picture, and seem to have minimal swelling there.For the lower lids - not sure why anything was done here in the first place as you don't appear to have much aging in this one photo. You now have lid retraction so you can see some of the sclera laterally on both eyes. This is from the skin excision. In a young person it will be rare that there is sufficient laxity of the skin that it can safely be removed without pulling down on the lid. With time and massage you may be able to get the outer corner to lift up a little. If not would need a revision, but need someone very skilled in this surgery to have it done well.
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Answer: Unhappy post Blepharoplasty Thank you for your question and for sharing your photos. In my practice it is rare that I will suggest surgery in someone so young unless there is an obvious problem that can be addressed surgically. Any surgery done in a young patient should be done conservatively and the surgeon should take the time to counsel the patient about what is achievable and what is not so that expectations of the results can be realistic. In your case you have developed some hollowness of the upper lid sulcus from the surgery, but you still have some fullness of the sub brow fat pad. Your lower lids appear retracted, but it is difficult to tell from the photos whether you also have a slight ectropion. Both of these may result from over aggressive skin excision. There is typically none to minimal skin to remove in the lower lids in such a young person. Your pre op photos do not show much of an issue with your lower lids. Filler might have been a better option for the lower lids at first. You are still very early after surgery and should allow yourself at least six months to heal before contemplating more surgery. You should see a fellowship trained Oculoplastic surgeon who has experience in revision blepharoplasty. You should see someone soon to have an in-person exam and consultation and develop a gameplan for the future. As far as your lower lids are concerned it is important to see an Oculoplastic surgeon who can examine your eyes properly to determine if there is any drying of the corneas. This may change the gameplan.
Helpful 1 person found this helpful
Answer: Unhappy post Blepharoplasty Thank you for your question and for sharing your photos. In my practice it is rare that I will suggest surgery in someone so young unless there is an obvious problem that can be addressed surgically. Any surgery done in a young patient should be done conservatively and the surgeon should take the time to counsel the patient about what is achievable and what is not so that expectations of the results can be realistic. In your case you have developed some hollowness of the upper lid sulcus from the surgery, but you still have some fullness of the sub brow fat pad. Your lower lids appear retracted, but it is difficult to tell from the photos whether you also have a slight ectropion. Both of these may result from over aggressive skin excision. There is typically none to minimal skin to remove in the lower lids in such a young person. Your pre op photos do not show much of an issue with your lower lids. Filler might have been a better option for the lower lids at first. You are still very early after surgery and should allow yourself at least six months to heal before contemplating more surgery. You should see a fellowship trained Oculoplastic surgeon who has experience in revision blepharoplasty. You should see someone soon to have an in-person exam and consultation and develop a gameplan for the future. As far as your lower lids are concerned it is important to see an Oculoplastic surgeon who can examine your eyes properly to determine if there is any drying of the corneas. This may change the gameplan.
Helpful 1 person found this helpful
