Ptosis repair surgery result and swelling after 12 months (Photo)

Question

Male, 30, 80kg. Caucasian I had blepharoplasty on both upper eyelids and ptosis repair on the right. The ptosis repair surgery took place in June 2023 and there is still swelling, causing considerable asymmetry and ptosis. In a recent follow up, I was advised that this could be caused by blepharitis and have been told to apply a moist heat mask and wipes 2x a day for the next 6 weeks. I do not feel any inflammation or have any crusts, but can feel the eyelid when i shut my eye. Any thoughts?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. It would be very unusual to still have post operative swelling. It is difficult to determine the cause of your problems from viewing the photos. You should have a consultation with an experienced oculoplastic surgeon. 
Good luck!

Kenneth D. Steinsapir, MD · Answer

This is not swelling. Too much tissue was left between the upper eyelid crease and the lashes. This bulk makes the eyelid platform too full. You also have residual ptosis. Only revisional surgery with anchor blepharoplasty will correct this. There is no substitute for a detailed in person assessment.

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