Why the different eye shape after lower bleph? Can it be fixed? (Photo)

Question

I had under eye bags and decided to have a lower bleph. A week post op and the bags are gone but now I'm getting cat eyes. They don't go with my face. I didn't expect the shape to change. I have an anchor stitch as i mentioned in an earlier post. Maybe this is causing this look. I loved the shape of my eyes before and wasn't looking to change it. My left eye is different from the right since the procedure. What has happened here and can it be fixed? I'd like to have my rounded shape back.

Stephen J. Pincus, MD · Answer

In many instances, a tightening stitch will be placed in the lateral part of the lower eyelid to add support while the lower eyelid is healing from the surgery. The creation of scar tissue produced during the surgical intervention has a tendency to contract and pull the lid down slightly. Coupled with this, many times, is a temporary slight loss of muscle innervation which makes upward movement of the lid weaker. Furthermore, you had a slight degree of "scleral show" pre-operatively suggesting a tendency of the lid to go down. It takes more than a week or two for things to stabilize and settle. However, if you still note a difference between the two eyes, it would be a simple thing to correct.

John J. Martin, Jr., MD · Answer

When you undergo any type of cosmetic surgery, you should expect a change in your appearance.  In the pre-op pictures you have some scleral show - the lid is a little low. When someone has scleral show it is important to make sure that the lid doesn't fall post-op or you will have an ectropion.  For that reason a tightening stitch was put in the corner - to hold the lid up on the bone as it heals.  Almost everyone states that they look a little slanted post-op.  As the stitches in the corner dissolve, this will relax some.  Talk to your surgeon about doing some massage here too to help loosen the corner.  An almond shape is what we usually try to get in patients - not a rounding of the corner.

Karol A. Gutowski, MD, FACS · Answer

It looks like your lower lids were tightened. It takes more than a week to see the final result. Give it at least one month.

Roger Bassin, MD · Answer

You are only 1 week out. You need to give this some more time. It's impossible to draw any conclusions about your results after only 1 week. Follow up with your treating doctor, but you'll need to give this a minimum if at least 3-4 more weeks before any permanent conclusion can be reached. Hope this helps!

Why the different eye shape after lower bleph? Can it be fixed? (Photo)

Answers (4)

Answer: Eyelid surgery

Answer: Eyelid surgery

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Why the different eye shape after lower bleph? Can it be fixed? (Photo)

Answers (4)

Answer: Eyelid surgery

Answer: Eyelid surgery

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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.