Ptosis overcorrection - will it be possible to lower/correct this? (Photo)

Question

I had an external ptosis repair and bleph done on my right eye a month ago and I am super anxious about the peaking lid. My oculoplastic surgeon said it was intentional and due to self dissolving sutures inside, that will gradually dissolve the next 2-3 months. I am still swelled but my main concern is the peak. I can’t find any information online that supports this. Will it even be possible to lower/correct this if the peak persists?

Mehryar (Ray) Taban, MD, FACS · Answer

The eyelid can be revised. It would be best to following with your surgeon or see an expert oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

My experience, which is vast, is these do not get better without surgical intervention. It is all too easy to make an over correct. I do not care who the ptosis surgeon is, over corrections and under corrections will occur. These surgeries are hard to get right. I assume you are showing us two before photos and two after pictures. Clearly in the third photo the eyelid margin is peaked and over corrected. It is not realistic to expect this to fix itself in my opinion. These are situations where I will intervene early to correct the upper eyelid contour. I also wonder why the upper eyelid crease is still so high. To be fair, I am curious about more details regarding your situation and precisely what procedure was performed. I recommend early intervention and do not think that "waiting" for the suture dissolve is reasonable. There is no substitute for a detailed in-person assessment. A zoom call will not provide the detailed information that only comes from a physical examination. Yes, it is possible to fix this. The sooner, the better.

Ptosis overcorrection - will it be possible to lower/correct this? (Photo)

Answers (2)

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