Strabismus surgery and blepharoplasty? (photos)

Question

I'm scheduled for a consultation with an oculoplastic surgeon. My primary concern is strabismus, but I also have ptosis in the "lazy" eye and heavy eyelids. Is it possible to combine strabismus surgery with ptosis surgery? With a blepharoplasty?

Mehryar (Ray) Taban, MD, FACS · Answer

It is best to have strabismus surgery first and then consider eyelid surgery once healed. They are also usually best done using different surgeons with different expertise.

Kenneth D. Steinsapir, MD · Answer

In looking at your photograph, I see no evidence that you have strabismus. Your eyes are straight. What strabismus condition do you have. Also you have minimal ptosis. Most ptosis surgeons are not going to be comfortable offering you ptosis and if they do, they are likely to recommend a Mueller's muscle conjunctival resection ptosis surgery. That is likely to be the wrong ptosis surgery for you. You look like you have an early levator disinsertion on the left upper eyelid. In my opinion, that requires an anterior levator resection ptosis repair. Don't take yourself into the wrong surgery.

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