Ectropion after revision. Is it from the scar or was he too aggressive? (Photo)

Question

I had an original operation, a lower bluff to remove malars. Everything was fine (there was no retraction of the eyelid) But the result was unsatisfactory (malars remained, even more noticeable) After 4 months, the doctor agreed to a revision. Then ectropion appeared. 5 months later a second revision with canthopexy. And it is still not resolved. Already 6 months since the last revision. Is it from the scar or was he too aggressive (removed a lot of skin.Thank you

Brian K. Machida, MD, FACS · Answer

I don't understand your comment and it may be a confusion of terms.  I don't understand why a lower bleph was done for malars, which is not typical. Perhaps you could post a picture with a pointer indicating your concern

Kenneth D. Steinsapir, MD · Answer

Both eyes have post blepharoplasty lower eyelid retraction. Further canthoplasty will not fix this. You need lower eyelid reconstruction to fix this. The good news is that this can be reconstructed. The bad news is that the work is not simple and very few perform this work. I see patients from all over the world for this. I am attaching a video showing how this is repaired and a web link with more information. Don’t let well meaning surgeons use up the resources you need for successfully reconstruction.

Ectropion after revision. Is it from the scar or was he too aggressive? (Photo)

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