Why is my right eyelid sagging after a brow lift 3 weeks post op? (Photos)

Question

I had a brow lift and my right eye lid is sagging more then my left eye. It's quite noticeable and people are commenting on it. I know nothing heals at the same pace, but should this be addressed sooner then later? Also my one brow is higher then the other. I cannot even put on eye makeup without lifting the lid and brow. Help

John J. Martin, Jr., MD · Answer

Tough to tell from just these 2 pictures - but good chance that the nerve to that side of the forehead is not working yet.  If you try to elevate the brow, do you see lines on that side of the forehead?  If not, the nerve is probably not working.  It can take anywhere from a few days to a few months for this to come back.  When it does the brow will elevate and the lid will look better.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Your question would be best answered via an in-person consultation with your board certified facial plastic surgeon where he can examine your face in-person. Keep in mind that you are early in your healing process and should follow the post op care direction of your board certified facial plastic surgeon as closely as possible.
Best wishes,

Mehryar (Ray) Taban, MD, FACS · Answer

I need more information including before photos. You are still healing. It is also possible you have underlying eyelid ptosis (droopy upper eyelid) which can affect the eyebrow position. See an oculoplastic specialist for evaluation if it doesn't resolve.

Babar Sultan, MD · Answer

I see that the right brow is lower than the left brow. It appears as if you had a temporal lift (lateral only) lift but I would need to your pre op pics. I would also need to know the exact type of browlift and method of suspension. At this point, the most important thing to do is to follow up with your surgeon and voice your concerns.

I wish you the very best!

I wish you the very best!

Daniel Straka, MD - Account Suspended · Answer

It is difficult to tell why the eyelid is lower after the brow lift from the pictures provided. The eyelid can be droopy due to ptosis (weakened or stretched out opening muscle) or could be lower due to the weight of the eyelid skin and brow pushing it down from a weakened brow lifting (frontalis) muscle. The right brow definitely appears lower than the left. What technique was used for brow lifting? It could be that the nerve providing input to the brow elevating muscle on that side was injured from the surgery. This can be temporary or permanent depending on the nature of the injury.  I would give yourself more time to heal before determining the next step.  If after 3-6 months the brow and the eyelid have not resumed a more normal position then evaluation by a surgeon with experience in droopy eyelid (ptosis) repair as well as brow lifting techniques would be recommended.

Ana Carolina Victoria, MD - Account Suspended · Answer

You are right, it may be too soon to have the final result. I would see your surgeon to address your concern. You may still be swollen from surgery, or it may be a frank uneven result that may need to be addressed, especially if the brow is also lower on that same side.

Best of luck

Best of luck

Why is my right eyelid sagging after a brow lift 3 weeks post op? (Photos)

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