How is over-resected upper bleph fixed? How can I fix a too-low eye incision from 1st bleph that hangs and puckers now?

Question

1st upper bleph 1 yr ago left extra skin/sagging AND incision went far too low past corner of eye. Another surgeon opted to avoid low incision this time. 9 days out now, eyes look deepset, sunken, smaller. Fat also injected under brows. Are eyes just swollen or over-resected? Can't see upper skin fold but easily close eyes. Previous low incision now sags/puckers. PS measured eyes w/calipers, marked before bleph. What to do if too much skin taken? And how to fix sagging low scar from 1st bleph?

Kenneth D. Steinsapir, MD · Answer

This most recent eyelid surgery is also not well designed in my opinion. The upper eyelid platform is not well controlled.  It is possible to lift an incision that is too low and lower a crease that is too high.  These are advanced techniques.  I recommend letting the eyelids heal for several months before moving forward with new consultations. However, there is help for you but the work is highly specialized. Approximately 70% of my surgical practice is fixing the cosmetic eyelid surgery of other surgeons. It is very easy to be frustrated in your situation. Don't let your current surgeons that this is the best you can be.  Let the eyelids heal and get the help you need.

Zoran Potparic, MD · Answer

You had 2 surgeries within one year! That creates a lot of scarring in the area and may cause current deformity. Let everything settle for at least a year before considering any other procedure; massage scars gently, possible steroid injection if approved by your surgeon. Good luck.

Mitesh Kapadia, MD, PhD · Answer

You are way too early in the healing process to make any judgements at this point as your eyelid is still swollen. Revision surgey often takes longer to heal. If you are still unhappy at 4-6 months its worth getting another opinion.

Robert L. Kraft, MD, FACS · Answer

You are much too early in the healing process to draw any conclusions. Be patient and do not rush into more surgery.

How is over-resected upper bleph fixed? How can I fix a too-low eye incision from 1st bleph that hangs and puckers now?

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