I need a NYC oculoplastic surgeon that has success with ectropian repair? (photo)

Question

I am desperate to correct what was done. I had a full face lift, brow and neck lift. I now have festoon that stand out and developed a pea size hard cyst under the left corner of my lower lid. I have ectropion my lower lids causing my eyes to dry. The lift gives me the appearance of looking like the joker because the muscles were pulled so tight. I am concerned and don't want the appearance of Mickey Rourke or Kenny Rogers. Please, please help.

Amiya Prasad, MD · Answer

When people had a lot of surgery like brow
lifting, face lifting and eyelid surgery combined, there can be changes in the
muscle tone that can affect the way a person appears. So when people come to me
relatively soon after their surgery, I always recommend that they first
communicate with the original surgeon. The original surgeon may be able to
resolve whatever issues they currently have and it may just require a bit of patience.

Changes in the lower eyelid position are one of
the most common things I deal with in terms of revision surgery. Certain people
such as celebrities have changes in their eyelids that required aggressive
surgery. However, since I wasn’t part of those celebrity surgeries, I can’t speak
of the specifics of what happened, but I can share with you how I deal with
patients who come to me with the same type of problem.

To address the issue of lower eyelid position relative
to the eye, it is important for the eyelid to provide protection and
distribution of the tear film to the surface of the eye. This means that the
lower eyelid should be at the level of the iris. Some people are born with
relatively low eyelids and it’s not necessary for them to have surgery. For
those who had surgery which left them with eyelids that are low, it is because
the several components of the anatomy and structure of lower lid have compromised.
The components include the lower canthal tendon which is the anchor of the
lower eyelid to the bone, the skin which is the amount of skin from the cheek
to the margin of the eyelid and the support or the middle lamellae of the
eyelid which acts like column to support the lower eyelid.

For patients who come to me who have problems
with lower eyelid retraction after cosmetic surgery, I make a decision on how
to address the lower eyelid retraction by restoring the vertical height of the
lower eyelid. This involves using a material called enduragen inside the
eyelid. Enduragen is the backbone of the skin from the pig. Sometimes it
involves skin grafting from the eyelids or behind the ear to restore skin in
order to get the vertical height. We would also do anchoring procedures in
order to get the outer corner of the eye in the proper position. These are all advanced
procedures and require a lot of work.

Looking for an oculoplastic surgeon is
certainly the right track but I suggest that you first communicate with your
original surgeon and make sure that there are other options that your surgeon can
assist you with before you decide to move forward. If this question has been
submitted because you feel that you can’t communicate with your doctor, then do
some research and meet with a New York City oculoplastic surgeon and take it
from there. I hope that was helpful, I wish you the best of luck, and thank you
for your question.

Asif Pirani, MD, FRCS(C) · Answer

Try Dr. Glenn Jelks in NYC.  He is a pioneer in this area and has authored many books and papers on eyelid rejuvenation.Best,

Donald Nunn, MD (retired) · Answer

I would recommend Richard Lisman, who is located in NYC.  He is excellent and does a lot of cases similar to yours.  Good luck.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

I need a NYC oculoplastic surgeon that has success with ectropian repair? (photo)

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I need a NYC oculoplastic surgeon that has success with ectropian repair? (photo)

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Everything you need to know about Facelift

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