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

Pioneering473127Nov 19, 2024
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

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Dr. Brian K. Machida, MD, FACS
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Dr. Brian K. Machida, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Nov 20, 2024
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Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 79 Reviews
Answered on Nov 20, 2024
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Jose Perez-Gurri, MD, FACS

Your current condition is an ectropion affecting both lower lids. It may or may not self correct but it should get better with time. This post-op condition is often associated with excess tearing, irritation and redness. Good luck, Doc PG

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Jose Perez-Gurri, MD, FACS

Hi. As was pointed out to you initially, a brow lift would be the indicated procedure going forward. The lateral redundant skin is brow tissue not upper lid skin. there must be a reason why your surgeon suggested a brow lift but now is reluctant. I would suggest another meeting with your surgeon...

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Kenneth D. Steinsapir, MD

The gap that occurs when you try to close your eyelid is called lagophthalmos. I am in the business of fixing these eyelids. It is shocking how little the upper eyelid needs to operate. The numbers you are quoting are repeated in the literature and it is possible to have insufficient skin in an...

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Jose Perez-Gurri, MD, FACS

Blepharoptosis (droopy upper eyelid) is very different than blepharochalasis (excess upper lid skin). A droopy eyelid involves more than excess upper eyelid skin. In most cases the edge of the upper lid will cover a bit or more of the pupil. Most cases involve the levator muscle of the upper lid...

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Lexie Wang, MD

Your eyes are not very uneven. this is probably a typical amount of asymmetry that everyone has on their face... and thus I highly doubt that anyone else notices. I suggest you save your money and work on your mental health instead.

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Gary M. Horndeski, MD

You are an excellent candidate for a lower blepharoplasty with fat repositioning. Your age is not a contra-indication to the surgery. Eyelid ectropion or retraction is very rare. Best Wishes, Gary Horndeski, M.D.

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