How to get my lower lids to cover more of the white of my eyes ? Want them to look like my eyes before surgery. (photo)
Doctor Answers 11
Post Blepharoplasty Healing
Hello,Four weeks post blepharoplasty is too early to asses final results. I recommend waiting for the resolution of post surgical swelling as well as the full return of muscle function/tone around the eye. It's difficult to predict how much spontaneous improvement you will have with waiting alone but you will have some. There are correction procedures available for the problem if it is persistent. Regards,
Patience after Eyelid Surgery
Your photos do suggest lower eyelid retraction following blepharoplasty. But you must be patient! Your condition may improve significantly with massage, lubrication, and time. Please discuss at length with your surgeon or seek a second opinion from a board certified, fellowship trained Oculoplastic surgeon (just like your initial surgeon?). I would anticipate you need to wait a minimum of 6 months before considering any revisions --- but this decision can only be made in person with an eyelid surgical expert. Massage, taping and other non-surgical interventions may be helpful for now. Best of luck in your recovery.
Lower lid ectropion
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Ms. McElheny,I'm sorry this happened to you! It can be fixed. This usually happens when you have skin removed from the lower lids and the lower lids don't have enough support or tone to remain in position against the eye. You get what is called ectropion - where the lower lids are actually pulling down and away from the surface of your eye. You should go back to see your plastic surgeon (the one who did the procedure) if you can. He or She should help you get back to a normal lower lid position. Things he or she will do will likely include:
1. massage. with some cream on your fingers (or ointment - whatever you're not allergic to) sweep your fingers firmly across your lower lids a few millimeters below your lashes from your nose toward your temples. This actually helps a lot in supporting the lower lids and lengthening the scar tissue that is forming. Over several weeks you will see a change in your lower lid position with this move. It may not be enough to totally correct your issue, but it will certainly help.
2. Canthopexy: This actually tightens the lower lid using a stitch at the temple end of the lid. It will elongate your eye sideways a little, but it will help your lower lid stay in position against your eye. Think of a clothesline that is drooping in the middle. If you tighten the end, the middle will come up.
3. Lid tightening surgery: This is the third option, where your surgeon can actually shorten your lower lid to tighten it and bring it back to where it belongs. It is a longer surgery, but if you need it to correct your problem, it will be worth it.
If you can't go back to your plastic surgeon, find someone you trust. Make sure they are board certified in plastic surgery or oculoplastic surgery. And best of luck.
Post-blepharoplasty lower eyelid retraction with scleral show
Lower Lid Retraction
This is a post surgical ectropion and vertical insufficiency of the lower eyelids.
Lid retraction post blepharoplasty
How to get my lower lids to cover more of the white of my eyes ? Want them to look like my eyes before surgery
After at least 3 to 6 months healing if still with partial ectropion than consider lower lid canthopexy/plasty..