Droopy Eyelids After Facelift and Upper/Lower Bleph?

Question

I had a facelift and upper and lower Blepharoplasty one year ago, overseas. Because too much skin was removed, my lower eyelids are drooping, causing very irritated and extremely dry, teary eyes and outside corners are stretch, leaving my eyebrow without natural curve. Taping and surgically tightening outside corners from inside, helped only temporally. Now, my new eye plastic surgeon recommended take a skin strips from my mouth, and implanting it, internally in to my lover eyelids. Please,Eva

Babak Azizzadeh, MD · Answer

What your surgeon suggested may be the best option for you. However, some recent studies have shown that volume restoration with fillers can sometimes help to control these types of situations if malposition is seen. Perhaps you could bring this up with your plastic surgeon.

Kenneth Hughes, MD · Answer

Eyelid malposition or ectropion can occur due to a variety of factors,which many attribute to excessive skin removal. While this may be the case in some instances, the truth is that something that looks good after surgery can change with patient healing characteristics. Before committing yourself to skin grafting or a palatal mucosal graft, some use filler to help the situation.

Vincent N. Zubowicz, MD · Answer

Malposition of the lower lids is a major complication after face and eyelid surgery. Too much removal of skin should be avoided. Patients at risk because of certain anatomical situations need to be carefully managed. Correction might require further surgery.

Lawrence Kass, MD · Answer

well, the droopy eyelids are almost certainly related to the eyelid surgery, not to the facelift that you had. It is hard to say if this is the best course of action but I think you are smart in seeking help from an oculoplastic or eye plastic surgeon. Without photos, it is difficult to assess what would be best for you. Consider seeing another oculoplastic surgeon (ASOPRS) for a 2nd opinion if you have concerns.

Mehryar (Ray) Taban, MD, FACS · Answer

Unfortunately, your problem is not uncommon. Lower eyelid retraction can occur after lower blepharoplasty. It is important to be evaulated by an oculoplastic surgeon for possible treatment options, which are available. Make sure you lubricate your eyes often in the meantime.

Droopy Eyelids After Facelift and Upper/Lower Bleph?

Answers (10)