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2 years post- op- Tightness/uneveness after ptosis/blepharoplasty. Is this still likely to resolve? (Photos)

yellowcapybaraApr 27, 2022
I got ptosis surgery and blepharoplasty a little over 2 years ago. After 1 year, one eye was healing still slowly and much more raised, so we did a revision on that one - so now I'm at 2 years post on the right eye and about 1 year post on the left eye. The left eye is still a bit more arched up than the right, and it still is tight and I can feel it like it's pulled up. Can I still expect it to reduce down more like the other eye? Anything else I can consider/do for more symmetry?

Answers (2)

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Apr 29, 2022
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Dr. Do-Hoon Kim, MD
Plastic Surgeon
Answered on Apr 29, 2022
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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your question and posting your photos. From one of your photos it appears you do have ptosis of one eyelid. This should be confirmed by a board certified oculoplastic surgeon. Several treatments exist for this problem. Good luck!

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Jason Emer, MD

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow,...

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Jason Emer, MD

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow,...

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Mehryar (Ray) Taban, MD, FACS

Based on the photos, it appears you are candidate for both procedures but need more detailed evaluation and discussion to determine accurately with consideration of risks and benefits. See an expert.

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A.J. Amadi, MD

You have nailed the diagnosis. You have eyelid ptosis which can be cured by surgery. There are a couple different options, one of which is scarless surgery. Consult with an experienced Oculofacial plastic surgeon (Oculoplastics). Virtual consultations are available. See link below.

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Mehryar (Ray) Taban, MD, FACS

Eye asymmetry is complex and can be due to various reasons. You need more detailed evaluation to determine cause or causes and thereby appropriate treatment.

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