The ophthalmologist made the 5 to 6 mm incision below the rim and he staggered it from the stye to try and prevent what has happened. The inside is not fully healed yet but the outside seems like it is. I was told that there’s nothing I can do about it, or that it would be too risky or not worth it. I was also told that it couldn’t be filled with anything. This is really upsetting to me as I preferred my eyelid fully intact. Is there anything I can do??
Answer: Eyelid notch surgery Surgery can be considered to remove the notch and reconstruct the eyelid margin, similar to eyelid skin cancer reconstruction. Examination in consultation is necessary to determine if that should be done. See an expert oculoplastic surgeon.
Helpful 1 person found this helpful
Answer: Eyelid notch surgery Surgery can be considered to remove the notch and reconstruct the eyelid margin, similar to eyelid skin cancer reconstruction. Examination in consultation is necessary to determine if that should be done. See an expert oculoplastic surgeon.
Helpful 1 person found this helpful
April 14, 2019
Answer: This is why injecting stye with Kenalog is preferable to surgical excision. First it is essential to understand that it is possible to excise this notch and reapproximate it. Unfortunately surgeons often over estimate their ability to do this and get an aesthetically acceptable result. What is aesthetically acceptable, even great in the setting of trauma or cancer reconstruction, just does not measure up in your case. I would be profoundly cautious and probably advise to not let someone one excise this notch. The first step here would be to let this heal for a full year. An option you can excercise would to have a small amount of hyaluronic acid filler. This will even out the notch and provide help for 9 to 10 months at a time.
Helpful
April 14, 2019
Answer: This is why injecting stye with Kenalog is preferable to surgical excision. First it is essential to understand that it is possible to excise this notch and reapproximate it. Unfortunately surgeons often over estimate their ability to do this and get an aesthetically acceptable result. What is aesthetically acceptable, even great in the setting of trauma or cancer reconstruction, just does not measure up in your case. I would be profoundly cautious and probably advise to not let someone one excise this notch. The first step here would be to let this heal for a full year. An option you can excercise would to have a small amount of hyaluronic acid filler. This will even out the notch and provide help for 9 to 10 months at a time.
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April 13, 2019
Answer: Eyelid notch hello, it does appear that you have a small notch in the lid. I would consider having an oculoplastic surgeon evaluate it and possibly inject a small amount of kenalog steroid into the wound to help soften the scar. Additionally, it may require a surgical revision. Visit an oculoplastic surgeon for best results.
Helpful 1 person found this helpful
April 13, 2019
Answer: Eyelid notch hello, it does appear that you have a small notch in the lid. I would consider having an oculoplastic surgeon evaluate it and possibly inject a small amount of kenalog steroid into the wound to help soften the scar. Additionally, it may require a surgical revision. Visit an oculoplastic surgeon for best results.
Helpful 1 person found this helpful
Answer: Notch after stye removal Every surgery requires expertise and scarring or notches after stye removal can occur -- no procedure is ever without risks or unfortunate outcomes. In my practice removing styes is cosmetic surgery and patients seek me out to prevent the kind of result you now have -- i've seen this kind of outcome many times from other doctors. Still it is early in your healing - over the next 6 months to a year this may improve considerably. Please wait at least 6 months before considering a revision -- and any revision of this will require a very gifted expert. Typically this area cannot be "filled" with anything -- i would be very cautious to use filler here but an absolute expert could attempt it after 1 year of healing. Also, avoid entirely any "steroid" injections -- they will likely make things worse. You need time and healing.
Helpful
Answer: Notch after stye removal Every surgery requires expertise and scarring or notches after stye removal can occur -- no procedure is ever without risks or unfortunate outcomes. In my practice removing styes is cosmetic surgery and patients seek me out to prevent the kind of result you now have -- i've seen this kind of outcome many times from other doctors. Still it is early in your healing - over the next 6 months to a year this may improve considerably. Please wait at least 6 months before considering a revision -- and any revision of this will require a very gifted expert. Typically this area cannot be "filled" with anything -- i would be very cautious to use filler here but an absolute expert could attempt it after 1 year of healing. Also, avoid entirely any "steroid" injections -- they will likely make things worse. You need time and healing.
Helpful
April 13, 2019
Answer: Notch from Stye Drainage You are very early in the healing process and it appears that much of the notching may be from swelling still. I would suggest waiting at least 6 months to a year. If the notching is still there and very bothersome, you could have the notch revised. However, this would involve a full thickness division of the eyelid, including the underlying tarsus (the cartilage) by someone well versed in eyelid reconstruction.
Helpful 1 person found this helpful
April 13, 2019
Answer: Notch from Stye Drainage You are very early in the healing process and it appears that much of the notching may be from swelling still. I would suggest waiting at least 6 months to a year. If the notching is still there and very bothersome, you could have the notch revised. However, this would involve a full thickness division of the eyelid, including the underlying tarsus (the cartilage) by someone well versed in eyelid reconstruction.
Helpful 1 person found this helpful
