Is it possible to get an upper bleph done to remove all this extra skin? (Photo)

Question

Ive had 2 ptosis surgeries in my left eye for congenital ptosis. I had levator technique done both times. I now have what appears to be an over corrected eye and extra skin. Is it possible to get an upper bleph done to remove all this extra skin? Would it make things worse? I am scared after 2 ptosis surgeries being messed up. Do i require a revision for fix the ptosis? I find myself hiding my eye now because it makes me feel bad about my apearance.

A.J. Amadi, MD · Answer

Based on your last 2 photos, you have a slight over correction as you eyelid margin (where lashes are coming out) is slightly highe than the top of the cornea. Ideally, it would be sitting about 1 mm below the top of the cornea. You also have slight lagophthalmos (gap between eyelids) when your eyes are closed. 
Having said that, lagophthalmos is often present in cases of congenital ptosis as the muscle is weak and we need to really tighten the muscle, often shortening it, to get the eyelid to elevate enough. Your surgeon may have overcorrected on purpose, especially if after your first surgery, the ptosis recurred. I How long are you out from your last surgery? I would wait at least 6 months to allow time for the eyelid to settle and scar to remodel and soften before considering a revision to lower the eyelid.

Is it possible to get an upper bleph done to remove all this extra skin? (Photo)

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