Is my eye overcorrected after ptosis surgery? Surgery change asymmetry of my eye round vs. almond is this permanent? (Photo)

Question

4th day after potosis surgery on my right eye and I feel that my eye is overcorrected. The shape seems to have been altered from almond to round. I am concerned. Is this permanent? Will my eye stay round and do I need corrective surgery. Is there anything I can do now to help.

Joseph Walrath, MD · Answer

Hi there,
I think you had nice surgery.  I do not see ptosis on the other side.  There is contour asymmetry, with a slightly laterally displaced lid peak on the operated side.  It may be due to the ptosis repair, unless you have had prior lower blepharoplasty, as it seems that the lateral canthus on  that side may be a bit higher than the left side, and this can effect contour.  This distinction is difficult to make without access to the preoperative examination.
I would wait several months to reassess.  If it persists, it can be corrected.  In general, very subtle differences in symmetry, like yours, can be tricky to correct.  My feeling is that there is a good chance if you sit back and heal, you will be pleased with the current outcome.

Best of luck,
JDW

Kenneth D. Steinsapir, MD · Answer

Generally I do not agree that nothing should be done with an over corrected eyelid even if the if advise is coming from a "Harvard-Penn trained" surgeon.  Over correction of an eyelid after a ptosis repair in my opinion represents a surgically urgent situation that should be reoperated on almost immediately so the eyelid does not heal in an over corrected position.  That is not what is going on with your eyelid.  The right side does appear appropriately corrected.  I suspect the left side has become more ptotic as a consequence of the recent ptosis surgery.  You did not supply a preoperative photo.  If that is the case, I would advise letting the eyelid heal for about 6 months.  If the left side persists to be ptotic, then ptosis surgery on the left side wil be warranted.

Damon B. Chandler, MD · Answer

Ptosis surgery is quite difficult to perform well and very few surgeons are masters. You seem to have a very nice result, and you are only 4 days out from your surgery. There is nothing to do now except wait for proper healing (6 months to 1 year) and to follow the advice from your surgeon. Best wishes in your recovery.Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

Is my eye overcorrected after ptosis surgery? Surgery change asymmetry of my eye round vs. almond is this permanent? (Photo)

Answers (3)

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