4 days after lower bleph with skin pinch, will retraction get better or do I need a revision? (Photo)

Question

I had a lower bleph revision 4 days ago, first was 3 years ago. First bleph left me with big bags. Concerned new surgeon was too aggressive. Cant seem to get things right in the middle where I want them! Problem 1. Both eyes are retracting a small bit from the eyeball 2. The surgeon cut starting with my inner eye between the corner and the tear duct all the way out beyond corners. He did not explain the procedure this way. Will retraction get better with healing or do I face a 3rd procedure?

Brian K. Machida, MD, FACS · Answer

It is much too early to make any conclusions about your results. Your appearance is something which could be seen at this point. Be sure to follow with your surgeon for proper post op care. The appearance of your lid does not mean the second surgeon was too aggressive. Patience is the key.

Soheila Rostami, MD, FAAO, FAACS · Answer

it may be secondary to edema. please, be patient and wait to see how it will be after two weeks or so. Even after two to three weeks still is there is small thing we can recommend to minimize the retraction of lower eyelids.

Andrew Campbell, MD · Answer

You are only a few days out from surgery, so get too concerned, things will improve. Swelling in the lower lids pushes the lower lid down away from the eyeball. As swelling resolves, the retraction should begin to look better. Sometimes patients will need to massage the lids upward to help treat some mild pulling. Regarding the incisions, lower lid scars typically heal so well that you really can't see them. Discuss your concerns with your surgeon.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Sanjay "Jay" Keni, MD · Answer

Hi Juniebug,
Sorry to hear of your concerns.  But let me reassure you that it is too soon too tell and you need to let the healing take place.
Swelling of the lower eyelids can sometimes cause some retraction.  Follow closely with your surgeon to see if he/she recommends taping the lid 'up and out' or massaging the corners.
Take it day by day-- unlikely that your surgeon would consider a lower lid tightening until you are close to fully healed, which will take up to six months.
Best wishes,
Dr. Jay

Shoib Myint, DO, FAOCO · Answer

Hello Juniebug,It is too early to make that decision. Remember that you already had surgery once on your eyelids. It will take 3-6 weeks before answering that question. If things don’t resolve by then, a possible revision might need to be discussed with your surgeon. In the meantime have discussion with your surgeon on conservative measures to improve your condition like massage. It is hard to see the complete incision but this should  be dicusssed as well. If there needs to be a revision, there are a few surgical options which your surgeon can recommend. Hope this helpsCheers

Richard O. Gregory, MD · Answer

Photograph shows with the patient in a slightly chin down position. This automatically places traction on the lower eyelids which may be distorting the photograph. Four days is much too soon to make an assessment of the eyelid surgery. At least two weeks and perhaps as much as six weeks will be required for most of the swelling to abate in order to assess. It is likely that this will self correct and not require further treatment. Protection of the eyes with artificial tears and coverage is important.

4 days after lower bleph with skin pinch, will retraction get better or do I need a revision? (Photo)

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