Failed ptosis fix from double eyelid surgery? Will I need a revision surgery? (photos)

Question

I had double eyelid surgery at the end of 2016; I believe one eye had ptosis. In the past years, one crease has obviously gotten weaker and sometimes turns into a third eyelid. It feels heavier when I look up and is delayed compared to the other. Will I need a revision surgery? Any advice is appreciated.

Ben Lee, MD · Answer

Thank you for your question. The reason for the regression of your initial result is a loosening of the adhesions that were created at the first surgery. This can result in multiple folds and is also seen in natural double creases as we age. You can certainly have a revision procedure to restore your initial result.

Andrew Choi, MD · Answer

Thanks for your question.

Second photo shows very mild ptosis and I am not sure that is the cause of weak crease on your right eye.
To make symmetrical crease, you need revision surgery. Because your left eye has well defined crease, I am suggesting to have non cutting eyelid surgery on right eye only. Incisional technique need to be avoided due to possibility of asymmetry.

Regards,

Dr.Choi

A.J. Amadi, MD · Answer

You definitely have right upper eyelid ptosis with poor crease formation. It is not unusual to have these two issues happen together, as the muscle that opens the eyelid (levator muscle) is also responsible for creating a tight crease. 
Though many surgeons treat these conditions, Oculofacial plastic surgeons ( Oculoplastics) have an advantage when it comes to ptosis repair as this a major part of their training and experience. Furthermore, it is best to pick a surgeon that has had experience in Asian Eyelids. Having trained in Korea certainly provides a surgeon with additional expertise in this subtle, detailed surgery. 
Virtual consultations are available.

Chase Lay, MD · Answer

Morning!

Yes, you would need a revision to make a more stable crease and help with the look and feeling of heaviness as it does appear you still have ptosis.  Definitely only work with surgeons who specialize in your anatomy and condition.   The surgery would consist of advancing the levator tendon some more (perhaps for both sides) and using an anchoring technique to keep the crease in place.  If the ptosis was under-corrected in addition to a poor anchoring technique the crease usually will loose definition with a year or so.  That being said you can still run into lifelong minor issues with ptosis if you were born with it.

Best of luck

Chase Lay MD

Failed ptosis fix from double eyelid surgery? Will I need a revision surgery? (photos)

Answers (4)

Answer: Ptosis revison in Asian eyelid surgery

Answer: Ptosis revison in Asian eyelid surgery

Recommended reading

Everything you need to know about Double Eyelid Surgery

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

Failed ptosis fix from double eyelid surgery? Will I need a revision surgery? (photos)

Answers (4)

Answer: Ptosis revison in Asian eyelid surgery

Answer: Ptosis revison in Asian eyelid surgery

Browse related questions

Recommended reading

Everything you need to know about Double Eyelid Surgery

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