So many issues with botched bleph! I had upper and lower bleph with canthoplasty (or canthopexy?) six weeks ago.

Question

Now both eyes are smaller, one smaller than the other, (laterally & vertically) and asymmetrical. The U & L lashes don't meet on one eye. I have lumps under my eyes where he repositioned fat and still have crepey skin from my brow to my crease which is why I consulted him. He moved my crease down, I have dog ears at the lateral edge and now one eyebrow is lower than the other. One eye is tearing constantly. Can all these problems be addressed in a revision? They are most noticeable when I smile.

Kenneth D. Steinsapir, MD · Answer

Your current surgeon is unlikely to have the necessary skills to revise your eyelid.  If they did, you would not be in your current predicament.  It is not too early to seek a second opinion especially with eye discomfort.  Revisional surgery unfortunately is much more complex than primary cosmetic eyelid surgery.  A major portion of my practice is devoted to revisional eyelid surgery.  It is unlikely that you will be ready for revisional surgery until you have healed about 6 months.  However, there are circumstances when surgery is performed earlier:  constant eye discomfort not managed with drops and ointment, and certain social situations.

Charles S. Lee, MD, FACS · Answer

Complications are a difficult situation. It may help to get a second opinion. It takes about 6mo before revision can be done and many of the early problems will seem much better down the road. Hard to say without photos, but it sounds like you will probably need to stabilize your brow (with an endoscopic browlift) in addition to upper and lower lid revision.

Mehryar (Ray) Taban, MD, FACS · Answer

I need more information including photos or exam to better help you. In general, it is best to wait 3 months before revision eyelid surgery. Discuss with your surgeon and/or see an oculoplastic surgeon. See following link too.

Robert H. Woods, MD · Answer

Sorry to hear you are having problems with your surgery. A lot of what you describe will resolve with time. The body is amazingly malleable. Lumps and bumps tend to resolve spontaneously. Asymmetry, if it was not present preoperatively, is usually due to removing more skin on one side than the other. This, obviously, can be fixed by removing additional tissue. A much more difficult proposition when you have to add tissue back to correct the problem. The tearing may be due to the lower lid not apposing the globe. Massage upward to encourage good apposition. Give this plenty of time before you decide to do any revision surgery. At least six months. But you should seek the advise of an oculoplastic surgeon if your surgeon is uncomfortable with your situation.

Mark Taylor, MD · Answer

Check back with the doctor who did you eyelid surgery to discuss options.  You could also seek a second opinion if he/she is unable to fix the problems.  Eyelids are tricky and sometime revisions needed to be done to get everything perfect.

So many issues with botched bleph! I had upper and lower bleph with canthoplasty (or canthopexy?) six weeks ago.

Answers (6)

Answer: Revision eyelid surgery?

Answer: Revision eyelid surgery?

Answer: Check back with your doctor to discuss options. You could also seek a second opinion.

Answer: Check back with your doctor to discuss options. You could also seek a second opinion.

Recommended reading

Everything you need to know about Eyelid Surgery

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

So many issues with botched bleph! I had upper and lower bleph with canthoplasty (or canthopexy?) six weeks ago.

Answers (6)

Answer: Revision eyelid surgery?

Answer: Revision eyelid surgery?

Answer: Check back with your doctor to discuss options. You could also seek a second opinion.

Answer: Check back with your doctor to discuss options. You could also seek a second opinion.

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Recommended reading

Everything you need to know about Eyelid Surgery

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