How can this bleph surgery be corrected, please? (Photo)
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Doctor Answers 7
I simply to not agree that your should blindly "follow up with your surgeon."
Now if your relationship with your surgeon is basically ok, yes of course, follow up with your surgeon. On the other hand, if your surgeon has a circle the wagon mentality and they are telling you that you look "marvelous," when you are actually having a problem, it is very hard to trust that person. Your incisions are too high but recognize that some surgeon actually advocate this type of aggressive incision placement as a way to reduce the appearance of the lateral hood after surgery. Again I personally do not agree with this approach because, while it solves one problem, it makes many more problems. If you are having dry eye symptoms, seek management with an ophthalmologist who can actually examine the eye surfaces and recommend appropriate treatment.
Generally it is best to let the eyelids heal 6 to 12 months before considering reconstructive surgery. However there are situations were earlier surgery is needed because medication such as drops, ointment and other measures are not compensating for the inability to properly blink and close the eyes. It is not possible to restore the natural upper eyelid fold that was removed by this surgery. It is not possible to restore the force of the blink mechanisms in the upper eyelid if it has been damaged by upper eyelid surgery. If you are short of skin and this is limiting the blink, then yes, skin grafting into the upper eyelid can be helpful but it is not cosmetically appealing. It is done to treat severe dry eye and the compromise in appearance is tolerated for the sake of comfort. This can be a very hard pill to swallow. For this reason, it is best to see what type of recovery you have simply medically managing the dry eye if this is possible and then deciding how to proceed.
I am sorry you are in this situation and yes, there is real help out there.
Unhappy after blepharoplasty
- Your incision is high, things are likely to slowly improve and nothing cosmetic should be done now
- But of great concern is the inability to close your eyes,
- Watering and tightness suggest your eye may be very dry, the risk is greatest at night.
- Your surgeon should already have you on a regimen of eye drops and gel to protect your eyes,
- And should be following you regularly to monitor your recovery,
- If not - you need to see an ophthalmologist about eye protection and a new surgeon to advise you on your surgery. Best wishes.
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Eyelid Tightness After Blepharoplasty
Based on your photos, you appear to have ptosis or droopiness of your upper eyelids: right worse than left.
Hope this helps you.
High and Tight
Earl Stephenson, Jr, MD, DDS, FACS
Unable to close eyes after blepharoplasty
Yes, this may correct itself. It has only been one month after surgery and the scar tissue may soften and loosen over time. It takes about 3 to 6 months to completely recover from blepharoplasty.
Lubricating eye drops or eye ointment can and will protect your cornea from drying out. Use day and night.
It is important for you to follow up with your surgeon on a frequent and regular basis and follow all instructions closely.
If you are dissatisfied, see two or more board certified and experienced surgeons in your area for a second opinion.
I hope this helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.