Im 43 years old...Its been 2 months since I Have blepharoplasty surgery..and one eyelid goes to a complete triangular point...a well as the underskin shows from under eyelash, one eye is not much smaller then then other ...and I Wanted something with slight results...I Havnt removed my sunglasses since I Had this done...and I Work with the public every day. Can this be fixed? and when? I Dont see logically how such a thing is gonna fix itself. PLEASE HELP
Answer: It can be fixed...Problem after upper eye surgery I looked at your photo's and I do think there are options. The most important (if you didn't already) is to see and oculoplastic surgeon. To me, it looks like you have a scar contracture pulling your lid up, or possible due to tarsal plate fixation. One option is to inject steroid medication into the scar to see if it softens and relaxes a bit. Another is to do a scar lengthening procedure, something called a z-plasty that can often relax and release the scar. Finally, some people need a skin graft to add a little extra skin to your upper eyelid if too much was removed in the surgery. If it is the tarsal plate, it needs to be released. Those are a few options. I hope you feel a bit better knowing something can be done. But as I mentioned, please see your surgeon or a new oculoplastic surgeon and discuss options.
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Answer: It can be fixed...Problem after upper eye surgery I looked at your photo's and I do think there are options. The most important (if you didn't already) is to see and oculoplastic surgeon. To me, it looks like you have a scar contracture pulling your lid up, or possible due to tarsal plate fixation. One option is to inject steroid medication into the scar to see if it softens and relaxes a bit. Another is to do a scar lengthening procedure, something called a z-plasty that can often relax and release the scar. Finally, some people need a skin graft to add a little extra skin to your upper eyelid if too much was removed in the surgery. If it is the tarsal plate, it needs to be released. Those are a few options. I hope you feel a bit better knowing something can be done. But as I mentioned, please see your surgeon or a new oculoplastic surgeon and discuss options.
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Answer: Can my recent surgery be repaired? Yes the surgery can be corrected. You likely had some ptosis correction that did not fully address the ptotic upper lid. It is very hard to give more specific recommendations with an exam. For example, to determine the levator muscle function, etc. The good news is that it can be fixed. Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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Answer: Can my recent surgery be repaired? Yes the surgery can be corrected. You likely had some ptosis correction that did not fully address the ptotic upper lid. It is very hard to give more specific recommendations with an exam. For example, to determine the levator muscle function, etc. The good news is that it can be fixed. Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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February 24, 2014
Answer: Ptosis Repair As others have noted, both upper eyelids have issues related to ptosis. I would venture to guess that a levator advancement was attempted on the right upper lid, accounting for the eyelid peaking. More than likely, the ptosis on the left upper eyelid was not addressed simultaneously, accounting for the profound "window shading" of the pupil on that side. these issues are most likely going to require further surgery. I recommend that you see an Occuloplastic Surgeon if you are seeking a revision
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February 24, 2014
Answer: Ptosis Repair As others have noted, both upper eyelids have issues related to ptosis. I would venture to guess that a levator advancement was attempted on the right upper lid, accounting for the eyelid peaking. More than likely, the ptosis on the left upper eyelid was not addressed simultaneously, accounting for the profound "window shading" of the pupil on that side. these issues are most likely going to require further surgery. I recommend that you see an Occuloplastic Surgeon if you are seeking a revision
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February 24, 2014
Answer: You first surgery can be repaired. However you should wait about 6 months to allow for all swelling and inflammation to subside. You have a ptosis of the upper eyelids, which should be corrected. You also have a different lid height and crease which needs to be adjusted. At the time of the repair, the suture which is causing the peak on the right can be removed to allow the lid to relax.
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February 24, 2014
Answer: You first surgery can be repaired. However you should wait about 6 months to allow for all swelling and inflammation to subside. You have a ptosis of the upper eyelids, which should be corrected. You also have a different lid height and crease which needs to be adjusted. At the time of the repair, the suture which is causing the peak on the right can be removed to allow the lid to relax.
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February 24, 2014
Answer: Can my recent eyelid surgery be repaired? Thank you for your question and your photos. So sorry that you have had these issues. From your photos, it appears that your left upper eyelid ( the one without the "triangular point") has ptosis, or drooping of the eyelid below the iris near the pupil. This is what you refer to as the smaller eye. Without pre-op photos, it is impossible to say whether you had ptosis pre-op and now it is just much more noticeable. The right eyelid with the "triangular point" will likely improve as the scar starts to soften. If it doesn't, it is an easy fix. The eyelid with the ptosis is unlikely to change much this long after surgery, and requires another surgery for ptosis repair. You should get a consult with a BCPS or ophthalmologist who performs ptosis surgery for correction. Best of luck.
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February 24, 2014
Answer: Can my recent eyelid surgery be repaired? Thank you for your question and your photos. So sorry that you have had these issues. From your photos, it appears that your left upper eyelid ( the one without the "triangular point") has ptosis, or drooping of the eyelid below the iris near the pupil. This is what you refer to as the smaller eye. Without pre-op photos, it is impossible to say whether you had ptosis pre-op and now it is just much more noticeable. The right eyelid with the "triangular point" will likely improve as the scar starts to soften. If it doesn't, it is an easy fix. The eyelid with the ptosis is unlikely to change much this long after surgery, and requires another surgery for ptosis repair. You should get a consult with a BCPS or ophthalmologist who performs ptosis surgery for correction. Best of luck.
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