Any revision possible for too much skin taken in upper bleph? (photo)

Question

Bleph (10 years ago) took too much skin. Eyes look smaller, deeper set, and darker (light from above doesn't reflect off cornea, aesthetically significant because reflected spot of light adds attractiveness). Corners too tight, can't look up. Front of eyelid loose & puckery. Vision changes (needed glasses after bleph). Here are pictures of what I think happened. Is it possible to reverse the many problems? Maybe tissue expansion at corners, and/or fat? Thanks!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for your question. It is possible to graft skin into your upper eyelids to allow the eyes to close better. You could also have fat grafted or filler placed to make the sunken-in appearance look better as well. If your eyes are dry, you should be using artificial tears to lubricate them. See an oculoplastic surgeon for comprehensive evaluation and discussion of possible treatments.

Mehryar (Ray) Taban, MD, FACS · Answer

It is best for you to see an oculoplastic in person for evaluation. Yes it is possible to place skin graft in upper eyelids if too much was removed in the past. See link below.

Lisa M. DiFrancesco, MD · Answer

Thank you for your question. You would have difficulty closing your eyes and possibly dry eye. You would need a consultation before the exact cause of your problems can be dtermined and corrected.

Robert S. Schmidt, MD · Answer

Thanks for your question. While rare, it's possible to remove too much skin in upper eyelid surgery. The most common problem that people will have in this situation is that their eyes don't close totally which can cause dryness. With the other things you're discussing, you may have some scarring under the skin as well. These issues can probably be improved. One technique is to use skin grafting to replace some of the missing skin. Good luck.

Any revision possible for too much skin taken in upper bleph? (photo)

Answers (4)