Eye surgery - gone wrong? (Photo)

Question

Hi there, I am a 42 year old female - white - who had upper and lowe eye surgery to correct some mild aging concerns. I developed some chemosis after surgery. Now, after over one year, one eye appears bigger. Any advice? It really bothers me. My original surgeon is overseas and I will not go back to him. Thank you

Kenneth D. Steinsapir, MD · Answer

There is no substitute for a detailed in person assessment. Post upper blepharoplasty syndrome includes upper eyelid ptosis, high or absent upper eyelid crease, hollow upper eyelid sulcus, compensatory eyebrow elevation, and crepey eyelid platform skin. The chemosis is due to drying and corneal exposure and most likely related to compromise in the lower eyelids. A detailed in person assessment is necessary to determine what might be the best approach to the chemosis. Generally it is related to evaporative drying from the eye surface. Aggressive lubrication from eyedrops and bedtime ointment can be helpful. The upper eyelids likely have an internal levator disinsertion. Reconstructive upper eyelid surgery restores the internal connection between levator tendon and the upper eyelid platform. The crease needs to be lower at the same time and the upper eyelid fold reconstructed. When this is done, the eyebrows will not be driven by the brain to compensate for the weak attachment of the anterior levator tendon and the tarsus. Often a lateral canthoplasty performed at the time of these reconstructions is helpful. Your eyes can be your best feature. There is help for this.

Eye surgery - gone wrong? (Photo)

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