I had a quad bleph and the incision isn't in the natural crease. Eyes are uneven and lids overhang. What can be done? (Photo)
Doctor Answers 8
Pre existing assymetry
Quad Blepharoplasty swelling and asymmetry
Thanks for your question and photos. Based on your preoperative photos you had levator ptosis or when you open your eyes, they do not fully open and sit on the pupil portion of your eye as compared to the upper part of your iris. It looks like you still have residual skin after the upper blepharoplasty. This is common due to the fact that after skin removal the brow typically relaxes and adds skin to the upper eyelid(herings law).
It seems that you are still early in your recover. I would wait 3-6 months before final judgement is made. Discuss with your plastic surgeon your concerns. The scars will eventually blend away. But ultimately you may need a touch up to remove excess lateral hooding and likely need a ptosis repair surgery to help open your eyes more. Good luck.
All the best,
Carlos Mata MD, MBA, FACS
Dr. Sheila Nazarian
@drsheilanazarian on Instagram
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See oculoplastic specialist
4 lid bleph
In the upper lids, it looks like not enough skin was removed laterally on the left. You have a very deep sulcus which you also had pre-op which can be improved by placing some filler or fat into the upper eyelid.
Any revision should be done after 6 months.
I had a quad bleph and the incision isn't in the natural crease. Eyes are uneven and lids overhang. What can be done?
Without knowing how long post operative you are, it makes the answer a little more complicated. It is important to wait at least 6 months before considering any further surgery given the swelling that is taking place. Having said that, for the troughs you can consider filler as long as you are at least a few months out. Since the filler is only temporary as the swelling is going down the filler will also be slowly going away. Another option down the road would be fat grafting to the area. However, I have responded to a few of your posts and it sounds like you haven't had the best surgical experiences, so maybe sticking with the non invasive and non permanent option like filler is best. As far as the overhang the best way to assess this would be with an in person evaluation.
I'd recommend you consult with another facial plastic surgeon or plastic surgeon to make an in person evaluation and determine what are the best treatments both for your current issues and to help with future signs of aging.
I hope this helps and good luck.
Uneven post bleph
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