Eyelid Repair - how can I fix my under eye following eyelid surgery? (Photo)

Question

The inner portion of my eye appears to droop and my under eye is caving in following an under eye blepharoplasty a while back. How can this be corrected?

Kenneth D. Steinsapir, MD · Answer

Be very careful. You may see well meaning surgeons who propose to repair this with lateral canthoplasty or lateral canthoplasty with a spacer graft. In my opinion, you need more resources to correct this issue. These approaches will be insufficient here. You are short of skin and soft tissue for the lower eyelid. Some surgeons will propose a skin graft to lengthen the lower eyelid. Unfortunately a skin graft is very unsightly. To get the most aesthetic repair of this post blepharoplasty lower eyelid retraction, in my opinion, you need to permanently recruit skin and soft tissue into the lower eyelid, the weight of the cheek needs to be removed from the lower eyelid. Finally, the lower eyelid needs to be shaped and the lateral canthus repositioned under no tension. This shaping is performed with a hard palate graft that is sewn in behind the lower eyelids. I am attaching a video of my surgery that I developed that reliably repairs these eyelids and a reference to my website.

Darryl J. Blinski, MD · Answer

Based on your one post a photo, you have a severe ectropion or exposed eyeball from lower lip Blero plasty best to seek in person consultation you would need a major lower lid revision surgery. If you wish a virtual consultation, then proceed also. I have many other questions that can only be answered in a virtual.

Eyelid Repair - how can I fix my under eye following eyelid surgery? (Photo)

Answers (2)

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