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What can be done to correct asymmetry 8 months after ptosis surgery? (photo)

I had Ptosis surgery done on both eyes about 8 months ago but my surgery failed as I have asymetrry and left eye is probably worst than before. What option I have available? I am aware that my tissues will be sensitive for repeat surgery. I was told that my left eyebrow is higher than right eyebrow too. I attach photo.

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Basil Pakeman, MD

Your recent onset of ptosis in the left eye, coupled with an elevated eyelid crease worsening throughout the day, indicates a likely weakening of the levator muscle responsible for lifting the eyelid. This condition may be attributed to age-related changes or underlying neurological issues...

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Kenneth D. Steinsapir, MD

However, it is far too early to consider revisional surgery. Your best hope to make this right is to find the right surgeon for the revision. The crease is too high. The shape of the upper eyelid is not right. It also appears that the lateral canthus is disinserted. This issues need to be...

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Kenneth D. Steinsapir, MD

You have bilateral upper eyelid ptosis with compensatory eyebrow elevation. You just happen to have one eyelid that is heavier than the other (common) and on that side your eyebrow is higher to compensate. Ptosis surgery corrects the eyelid margin position and will allow the compensatory eyebrow...

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Kenneth D. Steinsapir, MD

I am skeptical that you had "maximal" advancement of the anterior levator. Meaning you likely have a real probability that revisional surgery would be beneficial. It appears that more could have been done to control the eyelid platform which appears to still contain redundant skin and muscle...

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Soheila Rostami, MD, FAAO, FAACS

The photo from 2020 is a great photo, but the rest of the photos are either while you squinting or smiling. You have to have exact same photo as the 2020. But if your eyes are not as open as 2020, you have mild ptosis of both eyes.

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