Hello... i know i am still swollen but i see two different eyelids...especially my left eyelid feels very tight especially when i try to look up...i am 39 years old..i need your opinions and what can it be done about this..how long should i wait for a revision?should my plastic surgeon fix the ptosis or is it better for an eye doctor to do it?also is it a surgery that i can do while pregnant?thank you in advance!
July 9, 2018
Answer: Ptosis following Blepharoplasty Thank you for sharing your questions and sharing your photos. You might have had the ptosis prior to surgery, but did not realize it due to the skin hanging over before the Blepharoplasty was performed. With this said, it is much too early to judge results. Wait 3 months to determine what your eyelids are going to look like. Never have surgery while pregnant. The physician to choose for your ptosis (if it persists) is an experienced Oculoplastic Surgeon. Good luck,
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July 9, 2018
Answer: Ptosis following Blepharoplasty Thank you for sharing your questions and sharing your photos. You might have had the ptosis prior to surgery, but did not realize it due to the skin hanging over before the Blepharoplasty was performed. With this said, it is much too early to judge results. Wait 3 months to determine what your eyelids are going to look like. Never have surgery while pregnant. The physician to choose for your ptosis (if it persists) is an experienced Oculoplastic Surgeon. Good luck,
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July 10, 2018
Answer: Ptosis Hi Heather. Greetings from the UK. Yes you do have a mild ptosis affecting your right upper lid. It's really early to tell if this is a mechanical ptosis due to asymmetric swelling of the eyelids only (which is typically temporary) or an aponeurotic ptosis (due to stretching of the main tendon within the eyelid responsible for eyelid elevation). We would normally recommend allowing the post operative healing to run its course and reassess matters at 4-6 months after when all the post op swelling should have settled. Ptosis is really the bread and butter surgery of oculoplastic surgeons and in the UK particularly, this sort of revisional work is commonly referred to us as this is what we specialise in. Oculoplastic surgeons are typically ophthalmologists first (trained to looked after and operate on the eye) and then with additional subspecialist fellowship training in plastic surgery around the eyes, orbits and tear duct systems i.e. the best of both worlds. So by seeing an oculoplastic surgeon, they should be able to assess your ptosis, its suitability and safety for revisional surgery, and be able to offer your ptosis correction surgery whilst respecting and looking after your eye. Although technically one can perform ptosis surgery (usually performed under local anaesthetic) whilst a patient is pregnant, most oculoplastic surgeons would likely err on the side of safety and not want to subject a pregnant lady to any unnecessary stresses such as cosmetic surgery. Therefore most oculoplastic surgeons would probably wait till you were post partum. Best wishes David
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July 10, 2018
Answer: Ptosis Hi Heather. Greetings from the UK. Yes you do have a mild ptosis affecting your right upper lid. It's really early to tell if this is a mechanical ptosis due to asymmetric swelling of the eyelids only (which is typically temporary) or an aponeurotic ptosis (due to stretching of the main tendon within the eyelid responsible for eyelid elevation). We would normally recommend allowing the post operative healing to run its course and reassess matters at 4-6 months after when all the post op swelling should have settled. Ptosis is really the bread and butter surgery of oculoplastic surgeons and in the UK particularly, this sort of revisional work is commonly referred to us as this is what we specialise in. Oculoplastic surgeons are typically ophthalmologists first (trained to looked after and operate on the eye) and then with additional subspecialist fellowship training in plastic surgery around the eyes, orbits and tear duct systems i.e. the best of both worlds. So by seeing an oculoplastic surgeon, they should be able to assess your ptosis, its suitability and safety for revisional surgery, and be able to offer your ptosis correction surgery whilst respecting and looking after your eye. Although technically one can perform ptosis surgery (usually performed under local anaesthetic) whilst a patient is pregnant, most oculoplastic surgeons would likely err on the side of safety and not want to subject a pregnant lady to any unnecessary stresses such as cosmetic surgery. Therefore most oculoplastic surgeons would probably wait till you were post partum. Best wishes David
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