Would ptosis repair and lower eyelid retraction make my eyes appear less prominent and droopy? (photos)

Question

I am not happy with the appearance of my eyes, dislike the bulging prominent look and the droopy eyelids. I’ve had two consultations and both oculoplastic surgeons disagreed with eachother. I’ve had recommendations for orbital decompression, bilateral ptosis, canthoplasty/ tarsal strip , lower eyelid retraction with hard palate graft, infraorbital implant . I don’t want a drastic aesthetic change to the point I am unrecognisable, but I would look less prominent eyes and less droopy eyelids

Mats Hagstrom, MD (license on probation) · Answer

I think your facial appearance has a lot to do with the shape of your maxilla.
Not everything is related to eyelids or the orbit position in the eye socket.
During consultations, bring pictures of your face, taking the same way plastic surgeons take before and after pictures.
The ones you posted here are fine, but try cropping them a little less.
It’s generally better to include a little more of surrounding areas.Use pictures of yourself as reference whenever reviewing before and after pictures. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics and who had the proposed procedure from each provider.
 If you’ve already done the consultations, then consider going back and asking them to review more before and after pictures if you still have questions. 
Providers that don’t have an impressive collection of before, and after pictures that should tell you they may not have sufficient experience. 
A sufficiently experienced plastic surgeon, whether oculoplastic, or whatever should have Access to preferably hundreds or even thousands of before and after pictures for commonly done procedures. 
Being showed a handful of pre-selected images representing only the best results of a providers career may be insufficient to get a clear understanding of what average results may look like in the hands of each provider.
A sufficiently experienced provider should be able to demonstrate what your results are likely to look like by showing you lots of previous patients who had the same or similar procedures and facial characteristics. 
This is your best way of understanding what your outcome will look like.
If your providers don’t have an impressive collection of before and after pictures Then maybe you’re not consulting with the right providers.
There’s no correct number of consultations needed to find the right provider for your needs.
The more consultations you have the more likely you are to find the best provider.
Recognizing that the facial appearance is not only dependent on the tissues around the eyelid, but also of the maxilla and surrounding areas can help patients recognize and accept that partial improvements are sometimes all that can be achieved.
Perhaps a step wise approach may be more appropriate rather than having everything done in one go.
Sometimes it can be helpful if you break down the problem into primary, secondary and tertiary issues.
Look for providers who can clearly explain what the primary ideology is.
If a provider doesn’t understand the problem, then they are likely to employ procedures that are less than ideal.
In aesthetic surgery this is not always easy or straightforward.
When results are less than ideal it’s not uncommon that the procedure employed really did not address the Primary problem or the problem was not very well Understood.
Good luck,
Mats Hagström MD

Would ptosis repair and lower eyelid retraction make my eyes appear less prominent and droopy? (photos)

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Would ptosis repair and lower eyelid retraction make my eyes appear less prominent and droopy? (photos)

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Everything you need to know about Eyelid Surgery

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