I Had a Lower Eye Lift Almost 4 Weeks Ago. My Eyes Have a Pulled Down Look. Will This Go Away? (photo)

Does My Eyes Look Ectropion? Please show me how to massage my eyelid to help it lift up my eyes lid

Doctor Answers 12

Lower eyeljd retraction following blepharoplasty.

Lower eyelid malposition and/or retraction (ectropion) is not uncommon following blepharoplasty.  Various conservative measures such as massage, taping, injection of steroid and/or 5FU are an option early in the healing period but typically will not fully correct the problem.  Full correction will generally require surgery which is best performed 8 to 12 months following the initial surgery at the earliest.

Mario J. Imola, MD, DDS, FRCSC, FACS.


Denver Facial Plastic Surgeon
4.8 out of 5 stars 116 reviews

Lower eyelid blepharoplasty- early result

There is no question that you have an ectropion due either to:

  1. Laxity of the lower eyelid canthal tendon
  2. Over resection of the skin of the lower eyelids
  3. Scarring of the middle layer of the eyelid

An examination is needed to determine massage, stretching and taping will be beneficial.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Pulled down eyelid after lower blepharoplasty

The pulling seen in your photo is an ectropion as the lid is pulled away from the eye. Massage can help along with protective drops to reduce dryness and irritation. See your surgeon for instructions and help.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Post blepharoplasty ectropion

Lower eyelid ectropion as a result of scarring from blepharoplasty is a common complication. Time and massage [starting from the inside and moving outside and upward] may help.

However, early followup with your surgeon is indicated. Steroid and/or 5FU injections into the scar may improve or accelerate the softening of the scar and possible help avoid revision surgery. One month postop may be ideal time for such and injection.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 37 reviews

No this is not going away.

This is a direct complication of your lower eyelid surgery.  Massage and time will soften the  effect but will not result in the eyelid healing in the correct position.  This will need highly specialized reconstructive surgery.  Your surgeon may offer to "tuck" the lid or put a "stitch" in.  These are simplistic solutions to this issue and are only likely to use up more of the resources you will need to help with a definitive correction.  Unless you are having cornea exposure issues, let this are heal for 6 to 12 months before having a definitive surgical correction.  You may need to travel to have this corrected.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Ectropion after lower lid surgery

Thank you for asking about your healing after lower lid blepharoplasty.

  1. The photo suggests ectropion - lower lid pulled down and away from the eye.
  2. This is a complication of the blepharoplasty surgery.
  3. This may be temporary - massage and time will help.
  4. Taping to support the lower lid will help overflow of tears.
  5. But injections and surgery can be needed. See your surgeon and discuss what to expect and his/her plan to follow this until you are satisfied. 

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Yes this is Ectropion

Thank you for your picture. This text does appear to be ectropion. The massage is real simple just take your index finger and just rub your lower eyelid. Do this as often as you can. This will help loosen up the scar. If this does not work after approximately two months placement of steroids beneath the incision plus massage can help.

Good luck.

Dr. ES

Possible ectropion of lower eyelids after blepharoplasty

From your picture, it does appear that there is some ectropion of the eye you have shown after your blepharoplasty.  Since your procedure was 4 weeks ago, this may get better with time.  If you have not already, I would contact your surgeon to discuss your problem and he or she should be able to determine if you need any other treatment or manipulation, such as massage.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

I Had a Lower Eye Lift Almost 4 Weeks Ago. My Eyes Have a Pulled Down Look. Will This Go Away?

Massage, taping, and proper lubrication may all be recommended.  I would follow closely with your surgeon as he or she will be in the best position to monitor your condition and the progress over time.                                                                                                              Kenneth Hughes, MD                                                                                                         Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Had a Lower Eye Lift Almost 4 Weeks Ago. My Eyes Have a Pulled Down Look. Will This Go Away?

 It may not and you seem to have lower lid malposition following your lower eyelid surgery (Blepharoplasty).  You should ask the plastic and cosmetic surgeon that did your eyelid surgery for a referral to an occuloplastic surgeon for evaluation and possible treatment.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.