Lower Lid Retraction and Entropion (Photo)

Question

I recently had lower blepharoplasty with a Double board certified Plastic Surgeon (mistake #1). Surgeon ruined my eyes. Now I have lower lid retraction and entropion and my eyes look so different than before In addition I have blurry vision and lashes scratching my lower left eye. I have heard that these revision surgeries can be just as bad as the original surgery. My surgeon did give me 4 5-FU injections over the course of my 6 months, but it did not make a difference. HELP!

Kenneth D. Steinsapir, MD · Answer

Sadly these types of issues can occur. Well meaning efforts to prevent the issue or manage it conservatively with massage, taping, and injections are often insufficient. Many surgeons who are in the  repair business try to shorten the lower eyelid further in an attempt to fix the problem. That does not work. Some may offer a skin graft into the lower eyelid. These type of repair is almost as disfiguring and the problem itself. The answer is a cosmetic repair that recruits more skin and soft tissue into the compromised lower eyelid. My approach (graphic surgical video attached below) is to vertically lift the cheek on a custom made orbital rim implant of ePTFE. The ePTFE implant material is FDA approved for deep facial implantation. This implant serves as a felting material to hold the lifted cheek bringing needed skin and soft tissue into the eyelid. A second implant of hard palate graft borrowed from the roof of the mouth is used behind the eyelid for the purposes of shaping the eyelid. Over the course of 25 years I have done thousands of these repairs. However there is no substitute for a detailed in person consultation to fully assess your current situation and determine precisely what you need.

Ayse Dolar Bilge, MD · Answer

There may be some scarring on the conjunctival surface, which might require revision surgery. Following surgery 5-FU injections may needed.

Lower Lid Retraction and Entropion (Photo)

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Lower Lid Retraction and Entropion (Photo)

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Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.