Can my recent surgery be repaired? (Photo)

Question

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

James Bonaparte, MD, MSc, FRCSC · Answer

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.

John Nguyen, MD, FACS · Answer

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

Stephen Prendiville, MD · Answer

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

John J. Martin, Jr., MD · Answer

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.

Amy T. Bandy, DO, FACS · Answer

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.

Kenneth D. Steinsapir, MD · Answer

Actually both upper eyelids have issues,  The right one is ptotic with an issue with what was probably super tarsal fixation accounting for the over rotation of the central eye lashes.  Both upper eyelids are relatively ptotic and need to be corrected.  The correction of the ptosis will allow the two eyebrows to relax down and also to restore some semblance of an upper eyelid fold on each side.  Please do not ask your original surgeon to make this repair.  They will not even know what you are talking about.  Please do let the eyelids heal for 4 to 6 months before having the upper eyelids revised.  Considering where you live, you will need to travel in order to have this correctly repaired.  Plan on investing time and effort to see several surgeons to find one who makes sense to you.

Darryl J. Blinski, MD · Answer

YESof course. But over the internet not where you need to be. Seek IN PERSON second opinions ASAP. Was the surgeon a boarded PS???

Grady B. Core, MD · Answer

Actually you have problems in both eyes and both have to do with the incision and the upper lid crease as well as some ptosis on the left. This will not fix itself and will require surgery although you may have to wait a few more weeks for all swelling to go down so be patient. Your surgeon should be able to review all the issues with you and offer you a plan to resolve these problems. If not, I recommend you go see Dr. Mark Codner in Atlanta. He is near you and is a well respected authority on eyelid surgery and can help. Good luck.

Can my recent surgery be repaired? (Photo)

Answers (8)

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