How likely will a second ptosis surgery work if the first didn't and will the extra crease go away? (Photos)

Question

I would like a second opinion: I had ptosis surgery on both eyes 4 months ago. My eye is still droopy. I also now have a new crease (lower) that I did not have before this surgery. What is the likelihood that a second surgery will fix this droop in the eye and will it also remove this extra crease that I now have? Also, if I do a second surgery, should I do it with the original doctor or have a new doctor do the revision? Lastly, should I go with a levator enhancement/revision or a mullerctomy?

John J. Martin, Jr., MD · Answer

You should wait 6 months before doing anything.  It looks like you had an external approach the first time.  On the lower side you do have a low secondary crease.  Since you want to tighten the lid crease to eliminate the lower one, you would need to go through the external approach.  So it would be easiest to tighten the levator when doing that.  Alternatively you could have a mullerectomy to lift the lid (need to do a neosynephrine test in your doctor's office to check how much to correct) and then just tighten the skin on the outside.

How likely will a second ptosis surgery work if the first didn't and will the extra crease go away? (Photos)

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