Upper eyelid swelling after ptosis surgery. Will the shape change after the swelling goes down? (Photo)
Doctor Answers 5
Ptosis surgery is trick business.
Your eyelid looks a bit high, but this can be resolved when swelling goes down if it's temporary swelling or overcorrection
In every ptosis operation, there is a possibility of under-correction when the eyelid is too low, or overcorrection when the eyelid is too high. Only your doctor knows what happened during the surgery. Sometimes the surgeon will overcorrect because they anticipate the eyelid will come down after some time.
When I do a ptosis evaluation, I measure the levator muscle function to assess the strength of the muscle that lifts the eyelid. When the muscle is weaker, I sometimes over-correct because the muscle is weak and there’s a tendency for the eyelid to drop down a bit. When a person has normal levator function, I try to make the eyes relatively symmetric during the surgery because I expect after healing there’ll be some stabilization.
In the normal human population, there is always a 1-2mm difference of eyelid height between the two eyes. As long as you are within that range, that’s acceptable. In your case, your doctor will be able to guide you as to why you look the way you do and whether or not this is a case of someone who is overcorrected. If that’s the case, the timing for an enhancement is something that your doctor will help you decide. In my practice, I usually wait for swelling to resolve to a reasonable level so that I can work on tissue that isn’t swollen. I do my enhancements on a case-by-case basis. Clearly with this photo, there is a difference between the two eyes - the right eye definitely does look more open and round, but without other information it is difficult to make a prediction. I think that communicating with your doctor will help you move forward to do whatever is necessary.
Sometime after ptosis surgery, a little massage will help stretch the tissue out and allow for a some of decent. I’ve had patients who initially looked overcorrected, but with some time it came down to a point where it looked appropriate. I think that you should keep the faith and maintain communication with your doctor. Work with the doctor about moving forward with any other adjustments that may be required later on. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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The quick answer to your question is yes the swelling will go down and the eyelid shape should be much more symmetrical with the opposite side. 4 weeks is still early and I would expect another month before you can truly assess your results.