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Is it possible to have revision eyelid retraction surgery?

Magical687811Feb 14, 2024
Hello. 2 weeks ago I had surgery to correct lower eyelid retraction with hard palate graft and cantoplasty. After the surgery my eyes became very narrow and small. I had naturally large round eyes and even after the eyelid retraction appeared my eyes looked cute but now I feel very unattractive and I hate my eyes now. Now my eyes are squinted all the time and give me an angry look even when I smile Is it possible to fix this and return my eyes to their natural shape and make them open again?

Answers (1)

From board-certified doctors and trusted medical professionals
Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Feb 15, 2024
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Randal Haworth, MD, FACS

1. Lateral canthal dystopia, or asymmetry of the outer corners of the eyes, can be caused by various factors, including genetics, aging, trauma, or underlying medical conditions affecting the eye or surrounding structures. 2. The cost of surgery for lateral canthal dystopia can vary widely...

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Randal Haworth, MD, FACS

Based on your photo and in my experience, a surgical procedure should be able to fix the issue. Make sure to consult with an experimented board certified plastic surgeon. Best of luck !

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Kenneth D. Steinsapir, MD

Your situation is complex. Standard approaches can worsen your situation. Eyelid tissue is very precious and well meaning surgeons can use up resources like eyelashes. For example skin grafting is seldom aesthetically helpful for these types of problems. The challenge is that some surgeons are...

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Ayse Dolar Bilge, MD

If your lower eyelid retraction isn't too severe, Enduragen might be beneficial, but it could be insufficient for more significant retractions. A more stable product might be necessary. For this purpose, I use ear cartilage grafts. It can be considered as an option.

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Ayse Dolar Bilge, MD

There may be some scarring on the conjunctival surface, which might require revision surgery. Following surgery 5-FU injections may needed.

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Randal Haworth, MD, FACS

Addressing concerns about lower lid retraction typically involves a comprehensive evaluation by a qualified oculoplastic or facial plastic surgeon. While a negative vector can contribute to this issue, the specific approach and necessary procedures depend on individual factors. Canthoplasty or...

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