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I have had two left eye ptosis operations both of which were failures. I need some assistance with the below. (Photo)

Mark CounselNov 23, 2017
Why would my eyes look symmetrical on the operating table but not post op when the swelling has gone down? Is it better to have another surgeon take a look? What are your thoughts on not being able to close my eye? Surgeon #2 says I will need to lubricate during the day and put cream in at night for the rest of my life. Should I consider this? Would you get a third opinion?Are there any other techniques available that could assist?

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From board-certified doctors and trusted medical professionals
Dr. Amber Leis, MD
Dr. Amber Leis, MD
Board Certified Plastic Surgeon
Answered on Dec 4, 2017
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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your question. Typically, ptosis can change appearance during the day. Fatigue can worsen it. On occasion, it can be related to a medical condition. Please see an Oculoplastic Surgeon for comprehensive evaluation and guidance.Good luck,

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Mehryar (Ray) Taban, MD, FACS

Need examination to better help you but it does appear you have persistent right upper eyelid ptosis and revision eyelid ptosis surgery should be considered. Revision ptosis surgery also has to deal with existing scar tissue and I use a very special technique for that. 

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Jessica Lattman, MD

I have not in 19 years of practice and an oculoplastic surgeon personally seen chronic sinusitis cause Ptosis. However, as long as other serious neurologic causes have been ruled out, then it is possible the sinusitis is causing it.  I would wait to have your sinus treated, and if the ptosis p...

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Goretti Ho Taghva, MD, FACS

Depends on the technique of the ptosis repair, typically waiting 2 weeks before wearing contact lenses again should be sufficient.  Long term contact lens usage is  associated with higher incidence of eyelid ptosis, but the actual mechanism is still unclear.  Goretti H. Taghva MD

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Joseph Walrath, MD

Hi there, I think you had nice surgery.  I do not see ptosis on the other side.  There is contour asymmetry, with a slightly laterally displaced lid peak on the operated side.  It may be due to the ptosis repair, unless you have had prior lower blepharoplasty, as it seems that the...

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