Is it a botched job if I have multiple creases appeared after upper eyelid surgery, and uneven eyelids? (Photo)

Question

After 6 weeks post-op upper eyelids surgery, I noticed that my left eyelid is bigger than my right eyelid. They don't look equal. Several creases (fold lines) appeared on both of my eyelids, which I didn't have before the surgery. I asked the dr.; she didn't know the answer to these questions? Is this normal or the dr. screwed up on my surgery? Is it a botched job? Please advise?

Kenneth D. Steinsapir, MD · Answer

Did your surgeon botch your eyelid surgery? I think your surgeon should be commended for being conservative.  He did not "screw up."  You have very big eyes and profound caution in performing surgery is not only appropriate, it shows that your surgeon is very experienced and definitely knows what they are doing. You photo are all taken in up gaze which makes the upper eyelid look heavy and makes the lower eyelids look pulled down.  What we don't get is a photo of your looking straight ahead.  This is needed to determine if you have ptosis.  Should ptosis be corrected?  Even if you are ptotic, I think one needs to be very careful because if the eyes are opened too much, you will have corneal exposure and dry eye.I think you might benefit from more structure in the upper eyelid in the form of a micro anchor belpharoplasty.  This would make a hard upper eyelid crease and tighten up the upper eyelid platform skin like a bed sheet.  This would also support the upper eyelid lashes.  I would strongly recommend waiting 6 to 12 months before considering any more upper eyelid surgery which will not be a "fix," but rather a refinement.I recommend bringing your surgeon a box of chocolates for the holidays.  He deserves it for perform conservative and appropriate surgery for you even if you don't appreciate it now.

John Nguyen, MD, FACS · Answer

Dear ReaderSix weeks post op is still very early to evaluate the result of eyelid surgery.  Although I do not know what your eyes looked like before surgery, it seems to me that your doctor did a good job. Try to give it more time to heal and keep communicating with your surgeon.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

John Michael Thomassen, MD · Answer

From your photos, you appear to have ptotic upper eyelids that would be significantly improved with ptosis correction surgery.  This would be an opportunity to remove any excess skin that may be causing an additional fold of skin on your L upper lid.  In addition, you have excess scleral show of your lower lid that could be improved with a canthopexy procedure.

Lawrence Kass, MD · Answer

It is way too early to make any decisions about the outcome of your recent eyelid surgery.  It takes time to heal.   It would be my advice to tone down your anger at your surgeon a little and to take a wait and see approach.  I think you should consider re-evaluating your results at about 6 months after the surgery.  Meanwhile, you might compare your current appearance to the photos taken of you before the procedure.  Good luck!

R. Laurence Berkowitz, MD · Answer

This is pretty common as the tissues are still swollen and stiff.  As the swelling subsides the tissues will be softer and lay better I suspect.  You can always take more but cannot put it back!

Is it a botched job if I have multiple creases appeared after upper eyelid surgery, and uneven eyelids? (Photo)

Answers (5)

Answer: Botched eyelid surgery

Answer: Botched eyelid surgery

Answer: Extra folds after blepharoplasty

Answer: Extra folds after blepharoplasty

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Everything you need to know about Eyelid Surgery

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Is it a botched job if I have multiple creases appeared after upper eyelid surgery, and uneven eyelids? (Photo)

Answers (5)

Answer: Botched eyelid surgery

Answer: Botched eyelid surgery

Answer: Extra folds after blepharoplasty

Answer: Extra folds after blepharoplasty

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Recommended reading

Everything you need to know about Eyelid Surgery

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