I had a levator recession done on upper eyelid. It was 4mm asymmetry from other eye with about 1-2 mm scleral show. It was my second surgery, after a mullerectomy where eye became immobilized. So I am extremely happy with the functional results. Issue is eyelid is about 1 to 1.5 mm higher than other. It fluctuates, but thats the range. I'm 2 months post surgery, and feeling the tightness of scarring occurring. Question is, is there a chance it can relax and lower a bit? Is that possible/likely?
Answer: Eyelid Retraction Two months is still fairly early in the healing process, and there is room for improvement. You can certainly try massaging the eyelid downwards at this stage. Getting the eyelids within 1 millimeter is an optimal result, and it may be that even if you are left with a slight asymmetry, further procedures would be ill-advised because your asymmetry falls within the margin of error inherent to the procedure. I would advise careful follow-up with your surgeon to monitor your progress.
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Answer: Eyelid Retraction Two months is still fairly early in the healing process, and there is room for improvement. You can certainly try massaging the eyelid downwards at this stage. Getting the eyelids within 1 millimeter is an optimal result, and it may be that even if you are left with a slight asymmetry, further procedures would be ill-advised because your asymmetry falls within the margin of error inherent to the procedure. I would advise careful follow-up with your surgeon to monitor your progress.
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August 6, 2014
Answer: Lid retraction surgery at two months
Lagophthalmus or eyelid retraction is most commonly caused by thyroid problems including Graves Disease or due to traumatic scarring. Partial Mullers muscle resection is commonly performed to relax a scarred and spasmed Mueller's Muscle as seen with Graves. Further lid positioning can then be performed with a levator lengthening procedure, which seems to be your circumstance. Maximum scar retraction occurs at about 6 weeks post-op and can continue if unabated for many more weeks. Scar massage and squinting exercises can help to release the retraction. A 2mm discrepancy is within the tolerance of the surgery at 2 months and will probably not require revision.
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August 6, 2014
Answer: Lid retraction surgery at two months
Lagophthalmus or eyelid retraction is most commonly caused by thyroid problems including Graves Disease or due to traumatic scarring. Partial Mullers muscle resection is commonly performed to relax a scarred and spasmed Mueller's Muscle as seen with Graves. Further lid positioning can then be performed with a levator lengthening procedure, which seems to be your circumstance. Maximum scar retraction occurs at about 6 weeks post-op and can continue if unabated for many more weeks. Scar massage and squinting exercises can help to release the retraction. A 2mm discrepancy is within the tolerance of the surgery at 2 months and will probably not require revision.
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