I already had upper blepharoplasty - Is it possible to reduce upper eyelid show? (Photos)

Question

Is there a way to reduce upper eyelid show? I have had an upper bleph several years ago

Jeffrey H. Spiegel, MD · Answer

If you feel that your lids look too long, then there is possibly a way to address this.  Fullness of the upper lids is often quite youthful and necessary. We can place fat or a filler back in the area to keep a youthful eye shape while reducing "eyelid show" as you mention.

Kenneth D. Steinsapir, MD · Answer

I do not think the answer is filing the upper eyelid with hyaluronic acid fillers or grafted fat. What is going on here is your surgeon made your upper eyelid crease too high, removed too much upper eyelid fold, and surgery damaged the insertion of the tendon that raises the upper eyelid. You have mild upper eyelid ptosis and a compensatory eyebrow elevation. There is a degree of eyelid platform skin  crepiness and too much eyelid platform exposure. Stuffing the upper eyelid fold with fillers or grafted fat will not fix these issues. I have developed a surgery to address the Post Upper Blepharoplasty Syndrome. It is surgery that reconstructs the upper eyelid fold by making a new upper eyelid crease at a lower location, mobilizing scar from the prior blepharoplasty, advancing the levator aponeurosis to the newly made crease, and mobilizing preaponeurotic fat in the upper eyelid so it is able to contribute to upper eyelid fullness. I am attaching a website link for a paper I wrote on this subject. It is important to have the opportunity to examine you in detail to confirm what resources you have for a potential repair and determine if surgery is right for you.

I already had upper blepharoplasty - Is it possible to reduce upper eyelid show? (Photos)

Answers (2)

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