Revision upper bleph? (Photo)

Question

I had an upper blephroplasty, ptosis repair and eyelid filler with Belotero in Jan 2022. Now I feel like my eyes are hooded and I can see the filler. Would it be wise to dissolve the filler to see if it opens up my eyes again. I don’t like how hooded I look now as opposed to my pre op eyes. Could this possibly be related to brow ptosis now? I routinely get Botox as well however it hasn’t helped much. I don’t get any Botox in my forehead and haven’t for 2 years. I miss having more lid show.

Zoran Potparic, MD · Answer

Based on these photos (which is not as accurate as in person evaluation) you may still have a residual ptosis on both eyes and longer tarsal folds. This should be evaluated and discussed with your surgeon. I hope that my comment helps. Good luck.

Chet Mays, MD · Answer

Thank you for your inquiry! Keep an open communication with your plastic surgeon regarding your concerns. If you're unhappy with your results then we would be available to see you in person to evaluate and discuss upper bleph revision options. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Kenneth D. Steinsapir, MD · Answer

You have provided three images. The first shows upper eyelid folds consistent with an outie eyelid. The next image shows an innie right upper eyelid and a trace bit of upper eyelid skin but essentially no fold volume. The third image show a trace bit of upper eyelid skin forming a fold without fat volume. The first image shows the eyelids in a normal position. The next two images show the eyes as being ptotic. The eyebrows in all the images are consistent with compensatory eyebrow elevation. Is the first image your post operative status? Without a doubt some surgeon would remove the upper eyelid fold however, I believe that will make you look skeletonized and older, not younger. The ptosis repair that you had did raise the eyelid but did not correct the central levator disinsertion because you still have a compensatory eyebrow elevation. That suggests that the ptosis surgery you had was a posterior approach mueller's muscle conjunctival resection ptosis repair. What is important to understand is that most eyelid surgeons you see will not understand what your concerns are. When you meet with such a surgeon, don't insist that they operate on you. Try to find a surgeon who actually can understand your concerns and your issues. Like many outcomes, your result is good but not great. Please be careful what you look for.

Revision upper bleph? (Photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

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Revision upper bleph? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.