I underwent bilateral levator aponeurosis advancement and upper blepharoplasty in early August 2023. I believe it was overcorrected as my outer upper lids appear retracted and I look like I’m staring/glaring. It feels “tight” but I don’t have any issues with closing my eyes, however I question if they slightly open while I sleep because I wake up with a lot of dried eye discharge in the morning. What is your professional opinion on undergoing correction? Will it possibly relax/drop overtime?
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February 23, 2024
Answer: My experience is that these don't really relax down over time.
The reason for this is simple. Leaving the lower eyelid where it is and fixing the ptosis will exacerbate dry eye. It makes much more sense to first fix the lower eyelid retraction before repairing the ptosis. Do not have a Muellerectomy, It will not correct your upper eyelid ptosis. Many of...
Perhaps 80% of ptosis surgery is performed by Mullerectomy. It is popular because the anatomy is simple and a competent surgeon can perform bilateral Mullerectomy (Muller's muscle conjunctival resection ptosis surgery) in about 8 minutes. It is important to understand that surgeons are so in...
It is hard to tell from this photo but it seems more like fullness from eyelid skin hooding rather than ptosis. This asymmetry is likely due to some slight brow height and contour asymmetry. Depending on examination of the area, you can consider removing more skin from the more heavy side with a...