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Unexpected change in my upper eyelids - what could be the underlining cause? (Photo)

Lowselfesteem_1205May 5, 2024
A distressing transformation has occurred in my upper eyelids post-lower blepharoplasty surgery have been extremely undesirable and have caused significant concern for me.

Answers (1)

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Dr. Chet Mays, MD
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Dr. Chet Mays, MD
Board Certified Plastic Surgeon
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Answered on Sep 23, 2024
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Lucian Ion, FRCS

Thank you for your question and for sharing your photographs. The most precise mechanism to determine whether there is still injectable filler in the lower eyelids would be an MRI scan. However, it is somewhat difficult to justify this considering the problem you are still experiencing. The...

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Kenneth D. Steinsapir, MD

You are relatively recent from surgery. In my experience the shortness in these lids is from deep scaring in the eyelid not a relative lack of skin. Don't get talked into a skin graft. These are disfiguring and often do not resolve the weak eyelid closure. The blepharoplasty also can cause...

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Lucian Ion, FRCS

Thank you for your question. In general, upper-eyelid scars have a tendency to improve spontaneously. The cycle of scar tissue remodeling stretches over approximately 12 months and occasionally longer. The reason why practitioners are uncomfortable with steroid injections for upper-eyelid scars...

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Eric M. Joseph, MD

Unfortunately, the before and after photos that you posted appeared distorted. In that regard, it is difficult to impossible to advise you on your post-surgical result. Thank you for your question. Sincerely, Dr Joseph

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Eric M. Joseph, MD

We have not had any of our patients complain about droopy eyelashes after blepharoplasty surgery. When patients eyelashes are droopy, sometimes they consult with our esthetician for a lash lift. Wishing you well. Sincerely, Dr Joseph

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Donald B. Yoo, MD, FACS

Based on your photos your lid margin appears fairly symmetric (distance from your pupil to edge of eyelid) but there is asymmetry in terms of the shape and size of your upper eyelid crease (supratarsal crease). It appears you have some excess skin on the right vs. left eye, which could be...

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