Approach levator advancement for my right eye caused fuller sulcus - how can this be fixed? (Photos)

Question

last October I had an approach levator advancement for my right eye, I have Marcs gunn winking syndrome but its very controlled and only moves if I want it to. I had the surgery to address the mild ptosis, but since the surgery my eye appears much worse and I regret having the surgery. Im now dealing with a fuller sulcus on my operated eye and feel pretty angry the procedure was done considering I had it for cosmetic reasons. can this be fixed???

Allan E. Wulc, MD · Answer

Hi GeniusIt's great that you benefited from this procedure for your Marcus Gunn jaw wink and that it is under control, because often droopy eyelid surgery that lifts the upper lid can make the jaw wink more apparent.
Usually ptosis repair which advances the levator allows the surgeon to borrow fat from inside the orbit above the levator to make the sulcus appear more full--this doesn't look like it happened--or it's possible you didn't have a lot of fat there to advance.
Upper sulcus hollowing can be dealt with in the office by adding hylaruronic acid fillers. This is an off label use but was published by Dr. Hartstein and coauthors. If you don't like the results, you can always dissolve it, but often patients are very pleased with the outcome.
Good luck!

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Approach levator advancement for my right eye caused fuller sulcus - how can this be fixed? (Photos)

Answers (1)

EYELID SURGERY PROVIDERS NEAR YOU