5 months post revision ptosis surgery. Is my continued swelling a result of having had 3 surgeries already? (photo)

Steffy

To be absolutely on point with you, much more detail would need to be known about your particular situation.  If all three ptosis were performed by the same surgeon, I think it might be time for a second opinion.  I think you have waited long enough since the last surgery.  The photos you have provided make it very difficult to judge the actual lid margin height.  We also have no information on what your levator function is but this is also very important.  What is obvious is that you have been left with too much skin below the eyelid crease.  This means that the eyelid platform skin is loose and redundant.  This skin also helps support the eyelashes, so you also have eyelash ptosis.  The solution to these issues is a very precise anchor blepharoplasty where skin is removed below the crease and a fresh lid crease is make at just the right height so the skin and the orbicularis oculi muscle of the lid platform attaches to the levator aponeurosis thereby supporting the eyelashes.  Unfortunately, there are very few surgeons who are actually trained and practice this surgical technique.  So please be very careful in looking for a new surgeon out there.

Thank you for your question and photos. Ptosis surgery does have a high rate of revision.  It is technically very challenging, so revision is not uncommon. Swelling and skin folds are worse after multiple surgeries, but should resolve with time. Discuss your concerns in further detail with your surgeon. Best Wishes.