What can be done to correct asymmetry from previous eyelid surgeries? (photos)

Question

I need advice on how to help w my eye asymmetry. I was born w Marcus Gunn syndrome and ptosis. I have had 2 surgeries on my left eye which were both botched. My 1st surgery was 2008 ND my 2st was 2016. Both surgeries left me w thick scars and asymmetry in my eye shape and brow. My last surgery I had fillers to fix the asymmetry from the surgery and had a terrible reaction. I know I am limited on what can be done bc of my eye muscles. I believe I need a fox lift to help!

Kenneth D. Steinsapir, MD · Answer

They are not really interested in the fine details that help make a functional result an aesthetic result. To improve your result, you need levator function. That is a measure of the ability of the excursion of the upper eyelid when the eyebrow is firmly held against the brow bone. This isolates the movement of the upper eyelid. Movement is classified as poor, good, and excellent. To accomplish significant aesthetic improvement in these eyelids, you need at least 12 mm of levator function. When there is less than this, the risk of unsuccessful revisional surgery increases. Study the paper linked below. Half of these patient were individuals like you who had unsatisfactory ptosis repair. You will see what is possible to control and reshape these eyes to make them more beautiful. There is no substitute to a detailed in person assessment.

Pawel Szychta, MD, PhD, DSc · Answer

To correct asymmetry after eyelid surgeries, options include scar revision, ptosis repair, brow lift (or fox lift), and eyelid contouring (canthoplasty). Fat grafting may improve volume asymmetry if fillers caused issues. Consult an experienced oculoplastic surgeon for a tailored revision plan.

What can be done to correct asymmetry from previous eyelid surgeries? (photos)

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Everything you need to know about Eyelid Surgery

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What can be done to correct asymmetry from previous eyelid surgeries? (photos)

Answers (2)

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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.