Severe webbing from eyelid surgery. I am now on my seventh week and every day it's so difficult to see this

Question

Seeing the photos below at 7 weeks, I am hoping to get this repaired sooner than later. I have the greatest respect for my surgeon but unfortunately I was the one that for some reason healed poorly. I just wanted to do one thing for myself. The webbing is uncomfortable and effects my vision. Hoping for Zplasty sooner than later. Hoping after another 6 weeks I can move forward w/repair I'm just so concerned. Thank you very much for your advice and comments. I feel nausious from it daily.

Kenneth D. Steinsapir, MD · Answer

If there is scar in this fold, 5-FU can be used to manage the scaring. If there is no scar, it is highly likely that this is related to minor but persistent swelling.  Doing nothing and giving time for the swelling to fully resolve will be rewarded with resolution of this issue.  Early intervention will have unanticipated consequences and can leave you with permanent and unnecessary scaring.  Patience is advised.

John J. Martin, Jr., MD · Answer

Have you had any injections of anti-inflammatory medicine?  A combination of steroid with 5-FU and often soften and flatten these scars.  May take more than one injection.  If it does not go away completely,  it will at least be easier to revise since the scar will be softer.

Mehryar (Ray) Taban, MD, FACS · Answer

Yes multiple running z-plasty scar revision with epicanthoplasty will improve the canthal web scar you have. Need to have consultation.

Mehdi Sina, MD · Answer

Hi,I recommend visiting with an oculoplastic surgeon to discuss your surgical options AND timing. Furthermore, (without assigning blame to anyone) I am not sure the webbing is from "poor healing." Best,Mehdi Sina, MD

Sara A. Kaltreider, MD (retired) · Answer

In my opinion, you do not have to wait another day to have this repaired. It is clearly not something that will resolve on its own. Additionally, I don't believe that Z-plasty is the only way to correct it. Opening the incision, removal of the band of scar tissue, intra-operative assessment of the skin (is this lack of skin or bunching of skin?), and closure with inert, non-absorbable sutures might be all you need. Multiple factors lead to webbing - retained suture, inflammation, lack of proper closure. Please see an experienced oculoplastic surgeon to have this repaired. You don't have to wait! Best wishes.

Severe webbing from eyelid surgery. I am now on my seventh week and every day it's so difficult to see this

Answers (5)

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