Ptosis after eyelid biopsy - is there any way to improve the appearance of my eyelid? (photos)

Question

I had a full thickness excision and biopsy of a chronic Chalazion in September 2022. The ocuplastic surgeon also repaired an eyelid notch caused by scarring from another Chalazion The biopsy was benign. My concern is that it has been four months and my left upper eyelid is quite droopy. Other than eyedrops is there any way to improve the appearance of my eyelid?

Kenneth D. Steinsapir, MD · Answer

The diagnosis of a chalazia is generally very clear by the history of the lesion. There are circumstances when a biopsy is appropriate but these are not common. The full thickness "biopsy" is most frequently financially motivated. The vast majority of these chalazia respond beautifully to an injection of Kenalog without the need to perform surgery. Unfortuately, surgeons make more money doing the disfiguring surgery than they do from injecting the lesion with steroid. Before fixing the ptosis, I would recommend repairing the notch. This is not a very satisfactory outcome and I believe it is worth your while to have the notch revised. The eyelid horizontal width is also compromized. However, a first step will be to correct the notch. That should be addressed first. Once it is satisfactorily repair, the ptosis should be addressed. I do not recommend doing these at the same time as this can compromise the outcome of the notch revision.

Jason Emer, MD · Answer

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, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Soon-Dong Kim, MD · Answer

It seems that you have asymmetry eyes because of your asymmetry bone structure. As you can see from your photos, the height of eyebrows and eyes are different. What we can fix the the asymmetry eyebrows, only FOREHEAD LIFT (ENDOTINE) can fix it. Also you need full incisional double eyelid + ptosis correction to correct your minor ptosis and make your eyes bigger and fresh. If you have further questions then please leave a message:)

Ptosis after eyelid biopsy - is there any way to improve the appearance of my eyelid? (photos)

Answers (3)

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.

Ptosis after eyelid biopsy - is there any way to improve the appearance of my eyelid? (photos)

Answers (3)

Browse related questions

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.