Ptosis and blepharoplasty revision surgery? 6 months post-op and not happy with the results. (photos)

Question

Hello! I am 6 months out from ptosis repair (internal, both eyes), upper blepharoplasty (both eyes), and lower blepharoplasty (right eye only.) It was a very hard recovery (intense swelling of the left eyelid, pieces of the silk thread used to lift the muscle coming out and scratching my eye), and I am not happy with the results. The original surgeon wants to do the exterior ptosis surgery on the left eye, but says the blepharoplasty work looks good. I disagree. Any thoughts? Thank you!

Kenneth D. Steinsapir, MD · Answer

I simply to not believe the advice to stay with one's existing surgeon. The Muellerectomy, the internal ptosis surgery, is often a failure. Surgeons like it because it is the simplest type of ptosis surgery. The anterior levator resection ptosis surgery requires a great deal of experience that is often missing in the hand of individuals who hold themselves out as cosmetic eyelid specialists. When I look at your eyes, they  lack the jewel like quality we like to see in eyes. I doubt that just a left upper eyelid ptosis surgery will achieve the satisfactory result that you are looking for. You need to be tested to ascertain if you will develop more ptosis in the right side when the left upper eyelid is properly corrected (called Herring's law ptosis), At a minimum you need a ptosis correction of the left upper eyelid, and possible ptosis correction of the right upper eyelid. This is the opportunity to rethink the amount of eyelid platform show. An anchor blepharoplasty smooths the upper eyelid platform skin and support the upper eyelid margin eyelashes (lash ptosis). I also think some consideration should be made for lateral canthoplasty. All of these procedures could be performed in one setting to improve the appearance of the eyes. Your eyes can be your best feature.

Ptosis and blepharoplasty revision surgery? 6 months post-op and not happy with the results. (photos)

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Ptosis and blepharoplasty revision surgery? 6 months post-op and not happy with the results. (photos)

Answers (1)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.