hello, I had lower blepharoplasty 1 year ago I got ectropion. Then I had 2 revisions + canthopexy (5 months ago) and again ectropion. I feel dryness in my eye and discomfort, like I have a foreign body. Will it ever resolve - is it cicatricial ectropion or the doctor took too much skin. The strange thing is that only on one eye.
November 18, 2024
Answer: Lower eyelid blepharoplasty when skin is removed I’ve gone away from removing any skin from the lower eyelid. Often skin is removed with the orbicularis muscle which weakens the muscle that closes the eye. Removing skin and especially removing skin with the muscle, put a downward tension on the lower eyelid and this generally Results in creating an ectropion either now or prematurely in the future. The ectropion is not going to improve it with time. Typically, as we aged, we all develop some weakness in the lower eyelid and having had skin removed from the lower eyelid, causes this to happen more rapidly. I’m not sure if the same provider did the revision work, but in my opinion, if a plastic surgeon Lacks sufficient skill to do the procedure in the first place and they probably don’t have the skill to do the revision work considering that revision surgery is many times more complicated than the primary procedure. I suggest you have in person second opinion consultations with oculoplastic surgeons in your community. I have seen good improvement from a midface lift. The typically the standard approach is a canthopexy/plasty. Anytime you’re contemplating having cosmetic surgery I recommend you ask providers to open up their portfolio and show you their entire collection of before and after pictures of previous patients, we have similar characteristics for whatever procedure. They are recommending ThisAnytime your contemplating having cosmetic surgery I recommend you ask providers to open up their portfolio and show you their entire collection of before and after pictures of previous patients, we have similar characteristics for whatever procedure they are recommending. This includes both primary and revision surgery. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
November 18, 2024
Answer: Lower eyelid blepharoplasty when skin is removed I’ve gone away from removing any skin from the lower eyelid. Often skin is removed with the orbicularis muscle which weakens the muscle that closes the eye. Removing skin and especially removing skin with the muscle, put a downward tension on the lower eyelid and this generally Results in creating an ectropion either now or prematurely in the future. The ectropion is not going to improve it with time. Typically, as we aged, we all develop some weakness in the lower eyelid and having had skin removed from the lower eyelid, causes this to happen more rapidly. I’m not sure if the same provider did the revision work, but in my opinion, if a plastic surgeon Lacks sufficient skill to do the procedure in the first place and they probably don’t have the skill to do the revision work considering that revision surgery is many times more complicated than the primary procedure. I suggest you have in person second opinion consultations with oculoplastic surgeons in your community. I have seen good improvement from a midface lift. The typically the standard approach is a canthopexy/plasty. Anytime you’re contemplating having cosmetic surgery I recommend you ask providers to open up their portfolio and show you their entire collection of before and after pictures of previous patients, we have similar characteristics for whatever procedure. They are recommending ThisAnytime your contemplating having cosmetic surgery I recommend you ask providers to open up their portfolio and show you their entire collection of before and after pictures of previous patients, we have similar characteristics for whatever procedure they are recommending. This includes both primary and revision surgery. Best, Mats Hagstrom MD
Helpful 1 person found this helpful