Uneven eyes after upper Eyelid Surgery gone wrong - what are my options for a revision? (photos)

Question

February 2021 i had bilateral upper blepharoplasty at age 37, my eyelids were puffy and starting to get saggy. Right after the surgery i noticed that my left eye surgical site is much higher than my right one. I healed pretty quick, stitches were removed and my left eyelid looked bigger than my right. My dostor said to give it time because it takes a few months to see the final result. Now, 10 months later my left eyelid is still rounder and bigger than my right.

Kenneth D. Steinsapir, MD · Answer

There is simply no substitute for a detailed in person, hands on examination of the eyelids. That is the basis for making a surgical plan. You have provided two photographs  without explanation. Is the first image your before picture? The images to not show enough of the eyebrow but it appears that the left eyebrow may be higher than the right eyebrow. That is important because it suggests a compensatory eyebrow elevation caused by latent ptosis. Generally these types of asymmetries can be caused by the "handedness" of the surgeon. There is a tendency to make a more sloppy incision on the non-dominant side for the surgeon. Surgeons should of course compensate for this but they do not always.  Your left upper eyelid crease is too high. Many well meaning surgeons will tell you that the high crease can not be lowered and your only option is to have the lower fold raised. That is not the case. It is possible to lower the left upper eyelid crease. At the same time, and latent ptosis should be addressed. A detailed personal assessment is needed to determine if there are any additional issues or concerns. This is not going to get better on its own. Crease lowering surgery is extremely difficult to find. I offer it but I am not aware of any other oculoplastic surgeons in the United States who reliably offer it. Your eyes can be your best feature.

Edwin F. Williams, III, MD · Answer

Thank you for your question. I can see what bothers you. It can take time for the swelling to come down, but you may need a revision to help make things more symmetric, but an in-person examination is needed to fully assess. Best of luck!

Mehryar (Ray) Taban, MD, FACS · Answer

One possible treatment option is injecting filler in the inner upper eyelid area to improve the asymmetry but need more detailed evaluation to determine accurately.

Uneven eyes after upper Eyelid Surgery gone wrong - what are my options for a revision? (photos)

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Uneven eyes after upper Eyelid Surgery gone wrong - what are my options for a revision? (photos)

Answers (3)

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Everything you need to know about Eyelid Surgery

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