Is it possible to restore the almond shape of my eyes lost after upper and lower bleph 5 years ago? (Photo)

Question

Though I told my surgeon I didn't want the shape of my eyes to be changed, he made an upper incision that extended out and down from the outer corner of each eye. Now, instead of almon-shaped, my eyes look shortened and rounded; much more of my eyelid shows than did before, especially toward the outer corners. Two ocular plastic surgeons have suggested ptosis surgery to lift the lids so that less lid shows. A third plastic surgeon insists that ptosis surgery won't help, and is too risky. Advice?

Vincent N. Zubowicz, MD · Answer

There is very modest retraction of the lower lid that would require a canthoplasty to restore the original shape of the aperture.

Mehryar (Ray) Taban, MD, FACS · Answer

Ptosis surgery can help with the upper eyelids but it won't do anything with the lower eyelids or rounded eye appearance.  Lower eyelid lifting can help restore more natural almond shaped eyes.  That would likely require internal lower eyelid graft.

Kenneth D. Steinsapir, MD · Answer

You definitely have upper eyelid ptosis with exposed upper eyelid platforms.  Ptosis surgery opens the eye and this will reduce the long upper eyelid platform show.  However, this may not restore the almond shape of the eyes.  That is general very much related to what is going on in the lower eyelid.  The horizontal width of the eyes does appear shortened which would be consistent with a lower eyelid transcutaneous blepharoplasty.  Simply performing lateral canthoplasty does not always achieve the desired cosmetic result.  It may be necessary to use a spacer graft in the lower eyelids to control the shape of the lower eyelid.  I would recommend getting more consultations with surgeons who have more experience aesthetically restoring eyelids after blepharoplasty.

Andrew Pichler, MD · Answer

The lower lid rounding is what caused the loss of your almond shape. Lid tightening with canthoplasty or canthopexy should help. The mild upper lid ptosis may not need to be addressed at all. Good Luck.

Neal Handel, MD · Answer

I believe what you do not like about the appearance
of your eyelids is the “rounding” caused by retraction of the lower lid. The
lower eyelid is pulled downwards near the corner of you eye on both sides. This
is not an uncommon problem after lower blepharoplasty. It can be corrected with
an operation called a canthopexy, to tighten the lid and pull it back into the
normal anatomical position.

Is it possible to restore the almond shape of my eyes lost after upper and lower bleph 5 years ago? (Photo)

Answers (7)

Answer: Almond eyes

Answer: Almond eyes

Answer: Rounded eyes

Answer: Rounded eyes

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Everything you need to know about Eyelid Surgery

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

Is it possible to restore the almond shape of my eyes lost after upper and lower bleph 5 years ago? (Photo)

Answers (7)

Answer: Almond eyes

Answer: Almond eyes

Answer: Rounded eyes

Answer: Rounded eyes

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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.