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Is there a way to re-stimulate compensatory activity after a unilateral upper blepharoplasty and ptosis repair?

Botched321123Sep 15, 2024
I had an over-corrected unilateral upper bleph and ptosis repair. The dr. did not properly prepare me for the other changes I would see on my unoperated eye. That eye has drooped laterally and the lid is now a bit ptotic. For now, I can only afford a fat graft to the opreated eye to restore some volume loss. Is there anyway to restimulate compensatory stimulation on the opposite eye, perhaps even with a fat graft? Thanks

Answers (1)

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Sep 16, 2024
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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your question and posting your photos. It’s not uncommon to experience ptosis following eye surgery when a speculum is used. The speculum stretches the muscle of the eyelid which can cause it to slight drop after surgery. You don’t appear to have enough of a droop for sur...

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Kenneth D. Steinsapir, MD

Some might call this latent ptosis. In the first picture you have market brow compensation to counter the heaviness of the upper eyelids. In the second picture you manifest less brow compensation. This type of variability is normal. You do not need ptosis surgery but an anchor blepharoplasty can...

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Mehryar (Ray) Taban, MD, FACS

It does appear you have upper eyelid ptosis. See an oculoplastics expert for evaluation and possibly surgery.

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Kenneth D. Steinsapir, MD

The vast majority of ptosis surgery performed in the United States in the posterior approach ptosis surgery that is also called Mueller's muscle conjunctival resection ptosis surgery. Surgeons love this surgery because it takes about 8 minutes to perform the surgery. In many cases, the surgeon...

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