Was my ptosis a failure? Permanent results? (photo)

Question

I had a car accident 3 years ago which resulted in some trauma in my forehead and eye area (scars also). In november 2018 i had a ptosis surgery with my surgeon that fixed me after the accident.I feel like it hasnt healed correctly and my eye now has excessive crease. Went to my surgeon and he said it needed time and maybe another surgery (really hesitant), went to another doctor and he said its not fixable. I wanna know your opinions and if there is a way to make my crease back normal?

Kenneth D. Steinsapir, MD · Answer

It is not uncommon to be told that nothing can be done when what the surgeon really means is that the surgeon has not idea of what to do. Your issue is that you have bilateral upper eyelid ptosis with central levator disinsertion, bilateral high creases, and right eyelash ptosis. The most commonly performed ptosis surgery is the conjunctival muellerectomy. This ptosis surgery will not repair your issues. You need anterior levator resection ptosis surgery with upper eyelid crease lowering and an anchor blepharoplasty which will form a hard upper eyelid crease. This will address the ptosis, lower the upper eyelid crease, control the eyelid platform skin and the upper eyelid lash ptosis. I am attaching a video which has information about this.

Brian S. Biesman, MD · Answer

I am very sorry to hear about  your problems.  It does appear as if improvement in the appearance of the lids could be achieved with revision surgery to adjust the eyelid crease and also to potentially improve the eyelid position.  I strongly recommend seeing a surgeon who has extensive experience performing revision eyelid surgery.  Best of luck!

Mahsa A. Sohrab, MD · Answer

Based on the initial photograph, the asymmetry between the two sides was mild. It appears your surgeon chose an external approach given the incision through the skin, and perhaps removed some skin at the same time as the eyelid lift. It seems to me that the eyelid position is fine, and your primary concern is the way the incision healed - the photo is very grainy but I do believe it can be corrected. I would suggest seeing an oculoplastic surgeon who specializes in these types of procedures and has a strong understanding of eyelid anatomy to tailor the approach to address your concerns.

Was my ptosis a failure? Permanent results? (photo)

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Was my ptosis a failure? Permanent results? (photo)

Answers (3)

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Everything you need to know about Ptosis Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.