Is it possible to reverse eye shape after endoscopic lift? (Photo)

Question

I have done endoscopic cheek and brow lift surgery without canthopaxy but it changes my eye shape completely i had a big round eye and now it is more like cat eye very streatched and small pls help me if i can get back my eye shape i just dnt like my small stretched eye Can a revision possible pls tell me in detail

Semih Yildiz, MD, FEPOBRAS · Answer

In the photos, the eye area does appear to have a more lifted, stretched, almond-like shape, which can sometimes happen after brow or cheek lifting because the surrounding soft tissues and scars pull the lateral eyelid area upward. Whether it can be reversed depends on what is causing the change: brow position, cheek lift tension, scar tethering, eyelid support, swelling, or true lateral canthal position.

If you are still early after surgery, some tightness and pulled appearance may soften over several months, so many surgeons prefer to wait unless there is functional eye irritation, inability to close the eye, or corneal exposure. If the shape remains unacceptable after healing, revision may involve releasing scar/tension, lowering or repositioning lifted tissues, adjusting the brow or cheek vector, or in some cases eyelid/canthoplasty work by an experienced oculoplastic or facial plastic surgeon. An in-person exam is essential because trying to simply "undo" the lift without understanding the anatomy can create eyelid malposition or asymmetry.

Farid Brad Mozaffari, MD · Answer

Thank you for your question and pictures. How long ago was your surgery? If it has been less than 6 months since your surgery, I would not do anything as swelling and muscle/nerve recovery can take some time to resolve or complete. On the post-op picture, it looks like your upper eyelids are slightly lower than the pre-op picture. This can be due to swelling and as swelling goes away, the eyelid will move more upwards opening your eye more. Endoscopic brow lift should not effect position or function of your upper eyelids unless you have a lot of brow ptosis, which doesn't look like you had based on the pre-op picture. Cheek lift can effect position of your lower eyelids and bring them up making the opening of the eye smaller. Best way to change that back is to reverse the cheek lift, which you have to decide what is more important to you: a more prominent cheek or a bigger eye opening.

Is it possible to reverse eye shape after endoscopic lift? (Photo)

Answers (2)

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