Lower eye lift retraction after eye lift? (Photo)

Question

Hello, I had a lower and upper Blepharoplasty surgery 15 month ago. My upper lid is ok however the lower lid look pretty bad, the surgery changed my eye shape and makes my eye look droopy on the bottom. I am a bit devastated and very scared if I try to get this corrected, the outcome of a second surgery maybe worst. Need advice if this is flexible. I do not want to go to the same surgeon to fix it since I am not pleased with the result. Any input is greatly appreciated.

Kenneth D. Steinsapir, MD · Answer

You need expert reconstruction. You will need to travel for this care. No one where you live has the expertise to repair this type of issue. Simply trying to tighten the lower eyelid to fix this will only make the problem worse. You have actually experienced this. Do not get more bad repairs. It is simply using up the resources you need to have a definitive repair. My approach is to lift the cheek from a small incision at the corner of the eyelid. I hand carve an ePTFE orbital rim implant to make a place to sew this lifted cheek to. This permanently recruits more skin and soft tissue into the lid. To control the shape of the eyelid, tissue (hard palate graft) is harvested from the roof of the mouth. Study my website to understand how this is done. I am also attaching a graphic video that shows how this is done. It starts with a detailed in person consultation. Your eyes can be your best feature.

Ayse Dolar Bilge, MD · Answer

You have lower eyelid retraction which probably needs spacer grafting but proper evaluation is essential to decide on the procedure.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

C. Blake Perry, MD · Answer

It appears you had a transcutaneous lower lid blepharoplasty. Lid retraction often occurs after this procedure if too much skin is excised which pulls the lower lid down. Surgical repair is possible and often entails a spacer graft on the backside of the lid and tightening the corner of the eyelid. Best to see a eyelid specialist.

Lower eye lift retraction after eye lift? (Photo)

Answers (4)

Answer: Lower lid retraction

Answer: Lower lid retraction

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Everything you need to know about Eyelid Retraction Repair

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Lower eye lift retraction after eye lift? (Photo)

Answers (4)

Answer: Lower lid retraction

Answer: Lower lid retraction

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Recommended reading

Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.