I had lower bleph and too much fat was removed, so the left lower eyelid hangs 1 mm too low with scleral show. I went through 2 failed canthopexy revisions with my PS to attempt to tighten the eyelid. Then I went to an oculoplastic surgeon who performed another canthopexy and said I didn’t need a graft, but this didn’t work. Tightening won’t raise the lower eyelid, as it does not have enough fat to support it. Taping it hasn’t helped. Should I try AlloDerm, fat graft, or Restylane?
September 13, 2017
Answer: Lower lid problem
You made a couple of comments that require some clarification for other readers.
1. Putting fat back into the lid will not make a malpositioned lower lid go back up.
2. Lid malposition & scleral show is not caused by taking the fat out. It is caused by a shortening (usually from scar) of one of the 3 layers ("lamella") of the lower lid.
Correction of this problem gets complicated and technical- more than this forum can do. Your photos actually look pretty good - I don't see any scleral show in them. At this point, consider just a little HA in the lid - but avoid further surgery unless there is a really good indication.
All the best,
Helpful 1 person found this helpful
September 13, 2017
Answer: Lower lid problem
You made a couple of comments that require some clarification for other readers.
1. Putting fat back into the lid will not make a malpositioned lower lid go back up.
2. Lid malposition & scleral show is not caused by taking the fat out. It is caused by a shortening (usually from scar) of one of the 3 layers ("lamella") of the lower lid.
Correction of this problem gets complicated and technical- more than this forum can do. Your photos actually look pretty good - I don't see any scleral show in them. At this point, consider just a little HA in the lid - but avoid further surgery unless there is a really good indication.
All the best,
Helpful 1 person found this helpful
February 7, 2011
Answer: Too much eyelid surgery
First of all, I agree that you should not have another surgical procedure. If anything, have an HA (Resytlane or Juvederm) injected - and only small amounts. Second of all, it is impossible to evaluate your before and after since you are unanimated in the before pictures and smiling in the after pictures. When you smile, your cheek is naturally going to raise and cause some wrinkling in your lower lids.
Good Luck.
Helpful
February 7, 2011
Answer: Too much eyelid surgery
First of all, I agree that you should not have another surgical procedure. If anything, have an HA (Resytlane or Juvederm) injected - and only small amounts. Second of all, it is impossible to evaluate your before and after since you are unanimated in the before pictures and smiling in the after pictures. When you smile, your cheek is naturally going to raise and cause some wrinkling in your lower lids.
Good Luck.
Helpful