9 days post-op, are my incisions too high? (photos)

Question

9 days ago i did my operation. Cant really see up or right with right eye. Looks assymatrical one eye too high! What can i do?? Really stressfull situation..

Kenneth D. Steinsapir, MD · Answer

Is the crease too high? Of course it is too high. Will it heal to look like the other side? Of course it will not.  Don't let anyone blow smoke in your direction you have a problem. It is honestly hard to tell from the photographs but it very much looks like the incision of the left upper eyelid was make far too high.  The other issue is that clearly, the left upper eyelid levator aponeurosis is disinserted. That means that as the upper eyelid heals, the ptosis will persist.  I am not optimistic that your current surgoen is at all equipped to repair this.  Let's talk about the timing of repair.  Although this outcome is horrifying, it is fixable.  The important thing is to let the eyelid heal so that the repair can be as accurate as possible.  Generally, I recommend waiting about 6 months or more for repair.  However, that time frame can be very challenging socially.  For that reason, we will sometimes repair these eyelids well in advance of that 6 month mark.  The more patient you can be to let the eyelid heal and let the swelling to resolve, the more accurate your revisional surgery will be. At a minimum, I would recommend waiting at least two months before having an urgent repair.

Charles Nduka, MD · Answer

You are still early in the healing process and what you are seeing is not your final results yet. Your best course of action is to follow up regularly with your board certified plastic surgeon to prevent complications.

Srinivas S. Iyengar, MD · Answer

Incision placement in upper eyelid Blepharoplasty is critical to achieving a natural result. Experienced surgeons who focus on the eyelid area know that even 1-2 mm makes a significant difference.  The photos you show do not show if you have a ptosis, a drooping eyelid in addition to the high incision site.  A frontal photo would be helpful but not a substitute for a thorough evaluation by an oculoplastic surgeon--someone who regularly performs ptosis surgery. In our practice, we see patients every week that are in this scenario. Depending on the amount of skin remaining, the crease may be lowered and the ptosis may be addressed.

Parit A. Patel, MD, FACS · Answer

Thank you for your question and photos.  Based on the photos and swelling, it is hard to determine if the incision is truly too high or is it being distorted by asymmetric swelling.  Placement of the incisions for upper eyelid surgery are relatively standard so hard to believe that the incisions would be much different between your left and right eye.  I recommend following up with your plastic surgeon to address any concerns.  I hope this helps and good luck.

9 days post-op, are my incisions too high? (photos)

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Answer: Asymmetry after eyelid surgery

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9 days post-op, are my incisions too high? (photos)

Answers (4)

Answer: Asymmetry after eyelid surgery

Answer: Asymmetry after eyelid surgery

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Everything you need to know about Eyelid Surgery

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