1.5 years post-op - revision blepharoplasty, brow lift or both? (Photos)

thanks for your question. For me, the main problem is your brow asymmetry. We see this very often. The higher your brow is on one side the more uneven your eyelids look. This doesn't explain the lumpy scar but sadly sometimes this is the result of surgery. There are a number of strategies to try and improve this including revision surgery, but also silicone gel and non-invasive techniques.

Me, a good place to start with your Brown would be to try some Botox for the highbrow and even try some Botox underneath for the lowbrow. These two in combination can give you a more symmetrical brow which may save you the trouble of having a surgical solution.

Hope that helps. Best wishes, Adam Goodwin.

PS, I have a whole YouTube channel based on plastic surgery, questions like these. Feel free to have a look. Rather unsurprisingly it's called Adam goodwin surgery.

To make an assessment regarding the outcome of a plastic surgery procedure we always need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures, then contact your surgeon and ask them to forward the pictures they took.
Without seeing your before pictures it’s hard to make a quality assessment. We need to know where your initial upper eyelid fold was located, and if this was altered during the first procedure. If more skin is taken out of your upper eyelid, you may not be able to close your eyes if you add a brow lift as well.
I suggest getting in person second opinion, consultations from highly experienced plastic surgeons, facial plastic surgeons, or ocular plastic surgeons in your community who have a proven track record.
For a second opinion, consultations always come prepared to bringing with you a complete set of before, and after pictures, a copy of your operative report as well as your consultation and follow up notes.
Ask your previous provider for your medical record, including all before and after pictures.
Best,
Mats Hagstrom, MD