4 weeks I had upper eyelid surgery on both eyelids with disappointing results. Can it be fixed without further surgery? (Photo)

Question

The right upper eyelid developed ptosis. The left eyelid has a larger deeper scar, which caused a droop I didn't have before. I also had fat transfers to the under eyelids only. Is there anthing that can be done outside of another surgery which could make it worse?

Kenneth D. Steinsapir, MD · Answer

You may have had upper eyelid ptosis that was not diagnosed by your eyelid surgeon.  Alternatively, the swelling associated with the eyelid surgery might have caused upper eyelid ptosis.  Finally, you may have enough residual swelling associated with the surgery that it is temporarily causing ptosis.  At this stage, it is essential to be patient.  Due to the slow resolution of swelling, this takes time-try 4 to 6months.  At that point it will be reasonable to assess your appearance and determine how best to proceed.  Rest assured that many options exist to improve your result if this proves necessary.

Scott Trimas, MD · Answer

It is not uncommon to have some ptosis after eyelid surgery. This typically resolves with time. The swelling and redness is also normal after eyelid surgery. I would wait at least three months before contemplating any revision surgery. Also, it is possible you had some ptosis prior to surgery that was unmasked by the surgery procedure. At this point, I would discuss your concerns with your treating surgeon and give the concerns some time to iron themselves out. Good luck in your area.

Jason Emer, MD · Answer

You prob had a preexisting eyelid ptosis which would require a good oculoplastic surgeon to help with improvement.  This would require a second surgery.  However, I have a lot of noninvasive tools that work to improve the skin around the eyes and lift the cheeks without surgery and can really give a signficant improvement.  I suggest seeking a second opinion from an expert.  Best, Dr. Emer.

Chad Robbins, MD · Answer

It's too early to determine due to being only 4 weeks post operative.  Swelling can last for several months , so be patient and discuss this with your surgeon at that time if it hasn't changed.

Sean Maguire, MD · Answer

You do still have some swelling still but it does appear you have eyelid ptosis that has not been addressed and also a heavy, low brow.  I would give things more time (at least 3 months) and then see a qualified plastic surgeon or oculoplastic surgeon for consideration of ptosis repair and possibly browlift.

Darryl J. Blinski, MD · Answer

In my 'over the internet' opinion I do not see the issues you are writing about in the posted photos. Plus a before posted photo would allow a comparison. Also 4 weeks is still very very early in the healing phase. Allow 3 months than post before and afters to be reviewed. Otherwise you could seek second opinions in person...

John J. Martin, Jr., MD · Answer

You are still early in the healing phase and still have some inflammation and swelling.  However if you low at 4 weeks, there is a good chance that the lids are not going to elevate significantly.  You want to wait at least 6 months and then you can decide if you need to have a revision.  If you still have ptosis at 6 months, you may want to have that corrected.  It can often be done from the inside of the eyelid so that you won't need to have an external incision again.  See an oculoplastic surgeon to evaluate the muscle function of the lids.

Katrinka L. Heher, MD · Answer

While I always recommend being patient while you heal I'm afraid that you will continue to have ptosis of both upper lids right greater than left. Some of this may have been present pre op. I would recommend seeing an oculoplastic specialist. Best of luck.

4 weeks I had upper eyelid surgery on both eyelids with disappointing results. Can it be fixed without further surgery? (Photo)

Answers (8)

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