Is it possible to fix minor ectropion non surgically? Over 8 months po (photos)

Question

I had an upper and lower lid blepharoplasty. It is hard to tell without looking closely, but I have minor ectropion in one eye now. Is it possible to correct this non surgically still? I am over 8 months out from surgery. Is there still any possibility it could correct itself? Also, I have been considering fat grafting due to fat inecesarily being removed. Would that make this worse?

Kenneth D. Steinsapir, MD · Answer

Post-lower blepharoplasty commonly follows lower blepharoplasty. Many surgeons try to minimize what you are experiencing. However I deal with many patients who are devastated by these changes. Often they are associate with dramatic changing in the appearance and not in a good way. Combined with changes in the upper eyelid, the face if often left prematurely aged in appearance. the retraction of the lower eyelid contributes to dry eye symptoms as well. There are not successful nonsurgical means of improving these changes. Fillers and, certainly, grafted fat does not fix these issues and can result in their own additional problems. Lateral canthoplasty or pexy will not fix these lower eyelids. These eyelids do not get fixed with a "stitch." Don't get talked into a skin graft. Don't let well meaning but inexperienced surgeons further whittle on your eyelids. I am attaching a video on how these eyelids are definitively addressed. This is a graphic video so if you do not like surgical video--don't watch this. My website has much more information about how these eyelids are repaired. It all starts with a detailed, in person assessment. Your eyes can be your best feature.

Andrew Campbell, MD · Answer

From your photos, it looks like your lids are great. If you feel the one lid is a little lax, you can massage the lid upward and even though you are 8 months out, you should be able to get it to lift just a little.

Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa

Mats Hagstrom, MD (license on probation) · Answer

The answer to your question is no.
There are no nonsurgical options to tighten your lower eyelid.
Did you have skin removed from your lower eyelid? If so, then that would explain the outcome.
This will only get worse with time.
Facial fat is by its very nature unpredictable, imprecise, and potentially unforgiving if you don’t like the outcome.
Fillers are the opposite.
Fillers are precise, predictable, and forgiving, if you don’t like the outcome.
 I suggest consulting with the very best oculoplastic surgeons who seem to have a more conservative approach and how they address problems.
Before you do any more permanent, irreversible procedures, slow down the train, and make sure you focus your efforts on finding the right provider to guide you through the decision making process.
Best,
Mats Hagstrom, MD

Is it possible to fix minor ectropion non surgically? Over 8 months po (photos)

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Is it possible to fix minor ectropion non surgically? Over 8 months po (photos)

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