Eyelid Surgery Uneven Eyes. Will Tape After Surgery Really Help? (photo)

However, in the chance that it will make a small difference, it is worth trying.  Mostly taping gives your surgeon a face saving mechanism to blame if your lower eyelids are not everything you wanted: Did you tape as much as you were advised?  

 

Why do lower eyelids sag from transcutaneous lower blepharoplasty?  There are so many reasons really.  First incising the lower eyelid skin to gain access to the lower eyelid fat, transect the motor nerves to the lower eyelid margin.  These nerve fibers supply the orbicularis oculi muscle along the lower eyelid margin and are very important in holding the lower eyelid against the eye.  

 

Blame your surgeon for doing the wrong surgery?  Unfortunately they are following peer reviewed literature that suggests that this precise approach is safe.  In fact, these papers are not well supported by a very substantial body of evidence.  It is for this reason that oculoplastic surgeons favor procedures performed from behind the lower eyelid.  In the past, it was taught that "midlamellar" scaring accounted for the pulled down position of the lower eyelid after surgery.   Generally, I believe there is truth to this in addition to the motor nerve damage caused by surgery.

 

In time the swelling will settle and you will need to decide if the issue you are seeing this early from surgery will persist and bother you.  Despite your very reasonable concerns, time does have a way of resolving many issue.  I certainly would encourage you to be patient, follow the conservative advice of your surgeon, and avoid quick fixed that might be offered to you.  Canthopexy or canthoplasty procedures (sometimes described by the surgeon as tucking the eyelid or putting a stitch in) can often make matters worse.  If you are ultimately not satisfied with the way the lower eyelids heal, hear what your original surgeon advises and certainly consider getting a second opinion from an actual eyelid specialist.  The Amercian Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on their website that can help you find a well qualified surgeon in your area.

In all honesty, the presentation of your eyelids this early after surgery is quite normal.

Massage will improve the softening of the scar that forms after all surgery. The taping is probably not doing very much at this point, but certainly will not hurt.

It is way to early after surgery for you to worry about asymmetry. There is significant swelling in the first two weeks after surgery, and sometimes even longer than that. Furthermore, surgical scar will evolve and soften over a period of months. I would not consider revision surgery on anyone until the 3 month post operative visit, and sometimes even longer than that. Scars can mature for up to a year after surgery. Please be patient with your body and let it heal.

 

You may have some downward movement of your lower eyelid related to the surgery however it is still early in your healing phase. Continue communicating with your surgeon about managing this situation. I routinely perform corrective surgery for eyelids which are low or retracted after surgery done elsewhere so this option may be applicable to you depending on how you heal.

Great series of post op early bleph. photos. Which show a very normal healing progression! In fact your appearance is textbook. Obviously your pre operative informed consent was either lacking or you may have not fully understood the healing process. Better to be seen earlier if you are so concerned by your surgeon, maybe a little more hand holding will alleviate your anxiety. Otherwise all looks normal. I tape slightly differently, more laterally and upward. Btw this slight scleral show is called minor swelling ectropion that subsides within a few weeks to months. 

In the early weeks after lower eyelid surgery, it is not uncommon for swelling and the healing process to restrict the lower eyelids.  Massage and taping generally help and the majority of patients will find that things get better over time.  Minor asymmetries are common and tend to even out as the healing process progresses.  Your best option is to work closely with the surgeon who performed your surgery.