Problems after upper eyelid lift. Any idea what is happening? Could this be a muscle problem? (Photo)

Question

Had my surgery on 10th Jan 23. Big infection on left eye, periorbital cellulitis which took months to resolve. I am left with lagophtalmia, and a feeling of numbness in the lid + impossibility to properly squint. Photos: trying to shut eyes as hard as possible, squinting, eyes closed, and eyes open. Any idea what is happening? Could this be a muscle problem? The eyelid just looks... wrong. I am scared to re-open the lid, could the problem be figured out with an MRI? Please advise :(

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

It looks like you have some weakness in your orbicularis muscle.
Based on the information presented as this is most likely a result of the infection. This may improve on its own. I suggest getting an evaluation by an ocular plastic surgeon.
Issues relating to facial movement and eyelid can be addressed by plastic surgeons, facial plastic surgeons, and oculoplastic surgeons.
The background is not as important, as is their skill and experience level.
To find the right provider, you may want to have a couple of consultations.
What you describe sounds medically oriented. And I believe your evaluation should be a covered insurance benefits. For that reason you may need to look at your insurance plan and find providers who are within net work depending on what type of medical insurance you have.
I don’t think an MRI is going to give any useful information. A comprehensive examination and understanding your complete history is probably more important.
 My best guess is that your condition may improve on its own, but there are a variety of conditions that need to be tested for.
Best,
Mats Hagstrom, MD

Problems after upper eyelid lift. Any idea what is happening? Could this be a muscle problem? (Photo)

Answers (2)

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Problems after upper eyelid lift. Any idea what is happening? Could this be a muscle problem? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Eyelid Surgery

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