Uneven eyelid and “crow’s foot” after upper blepharoplasty. How long should I wait for a revision?

Question

I have done upper blepharoplasty at the same time with my rhinoplasty procedure. I am one month post op, and my left eye still way bigger than the right eye. It has been always bigger since day 1 post op. And not getting even. As for the right eye, it looks like I have crow’s foot when I smile, I feel like the outter incision was placed too low. Instead of rejuvenate look, my outer eyelid look more downturn. Is it botched? Can it be fixed by revision? How long should I wait for revision?

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs.  However, you need to wait 6 months from the date of surgery before undergoing any revision.  All the swelling will have gone down and you can see exactly how things are going to heal and can get an accurate assessment of what needs to be done.

Best Wishes,

Gary Horndeski, M.D.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment on the outcome of a plastic surgery procedure we always need to see a complete set of proper before and after pictures. If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took. Not including any pictures, we can’t begin to make an assessment.
Rushing into decisions about revision surgery is not a good idea. You need to give yourself plenty of time to heal and let the results finalize. If you do need a Revision procedure, then recognize that revision surgery is many times more difficult and complex than primary procedures.
Revision surgery while it is a benefit most of the times can make things worse especially if your provider didn’t have the skills necessary to do the procedure right in the first place. A careful decision needs to be made. If you should transfer your care to someone who has greater skill. Again, without the ability to make an assessment, we really can’t give you any useful advice. 
The following are some general guidelines to find the best provider.
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. 
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. 
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. 
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD

Uneven eyelid and “crow’s foot” after upper blepharoplasty. How long should I wait for a revision?

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Uneven eyelid and “crow’s foot” after upper blepharoplasty. How long should I wait for a revision?

Answers (2)

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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.