It has now been a full month since my Blepharoplasty surgery. I have included before and after pictures and seek your professional opinion. I believe my incisions are too high. Although I can close my eyes the skin under eyes wrinkle and lift. It looks and feel like I have very little lid left if any and eyes are a little watering and very tight.
Answer: I don't think the recommendation for a general plastic surgeon is appropriate. This type of eyelid repair work is quite specialized. In my opinion, and there is certainly room in the world for more than one opinion, is best performed by an oculoplastic surgeon. This is a board certified ophthalmologist with fellowship training in eyelid plastic surgery. They will be better able to assess the status of the eye using specialize equipment (slit lamp) that general plastic surgeons do not have and are not trained to use.I previously responded to one of your posts. I agree with your assessment that your incision is too high and your eye does not close well.
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Answer: I don't think the recommendation for a general plastic surgeon is appropriate. This type of eyelid repair work is quite specialized. In my opinion, and there is certainly room in the world for more than one opinion, is best performed by an oculoplastic surgeon. This is a board certified ophthalmologist with fellowship training in eyelid plastic surgery. They will be better able to assess the status of the eye using specialize equipment (slit lamp) that general plastic surgeons do not have and are not trained to use.I previously responded to one of your posts. I agree with your assessment that your incision is too high and your eye does not close well.
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Answer: Lid incisions are usually tailored to patient wishes so did you want 'dreamy' eyes with wide creases? If so, you should achieve that once you are healed. But as the others have said, the priority is to protect your eyes and you should be discussing your concerns with your surgeon. Your surgeon does want you to be as happy as you can so always keep your surgeon in the loop.
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Answer: Lid incisions are usually tailored to patient wishes so did you want 'dreamy' eyes with wide creases? If so, you should achieve that once you are healed. But as the others have said, the priority is to protect your eyes and you should be discussing your concerns with your surgeon. Your surgeon does want you to be as happy as you can so always keep your surgeon in the loop.
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March 8, 2014
Answer: Still healing At 1 month after surgery, you still have a ways to go with healing. Accordingly, many of your concerns could improve with time. By now, you are likely keeping your eyes lubricated (particularly important at night). When the time comes (perhaps 6 months or longer after surgery), if you are still not satisfied, you will want to obtain another evaluation and opinion. The key here is not board certification, rather the experience of the surgeon with complex eyelid problems. Just having a "board certified" after the name does not mean that the surgeon has a lot of experience with complex eyelid problems, so it might be best to obtain a couple of opinions. Good luck to you!
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March 8, 2014
Answer: Still healing At 1 month after surgery, you still have a ways to go with healing. Accordingly, many of your concerns could improve with time. By now, you are likely keeping your eyes lubricated (particularly important at night). When the time comes (perhaps 6 months or longer after surgery), if you are still not satisfied, you will want to obtain another evaluation and opinion. The key here is not board certification, rather the experience of the surgeon with complex eyelid problems. Just having a "board certified" after the name does not mean that the surgeon has a lot of experience with complex eyelid problems, so it might be best to obtain a couple of opinions. Good luck to you!
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April 21, 2017
Answer: Terrible Blepharoplasty Many of my brow-upper lid junction structural fat grafting patients have come to my practice for the correction of hollowness created by the over-zealous removal of fat during an upper blepharoplasty surgery. I am continually amazed at how many cosmetic surgeons practice 1970's-era blepharoplasty surgery in the 21st century. I almost never remove upper lid fat during blepharoplasty surgery, and in many cases I actually add fat at the brow-upper lid junction. Fortunately, essentially all cases of post-blepharoplasty hollowness can be improved dramatically by structural fat grafting. It is a more challenging procedure, as scar tissue must be overcome to create space for the grafted fat, and in many cases it takes more than one fat grafting procedure to restore adequate fullness in these patients. Lower lid hollowness following an overly aggressive lower blepharoplasty can likewise be improved. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery.This is a delicate surgery that requires significant experience and expertise from your surgeon. Take your time looking at photos, checking credentials and speaking to patients before undergoing a corrective blepharoplasty surgery
Helpful 2 people found this helpful
April 21, 2017
Answer: Terrible Blepharoplasty Many of my brow-upper lid junction structural fat grafting patients have come to my practice for the correction of hollowness created by the over-zealous removal of fat during an upper blepharoplasty surgery. I am continually amazed at how many cosmetic surgeons practice 1970's-era blepharoplasty surgery in the 21st century. I almost never remove upper lid fat during blepharoplasty surgery, and in many cases I actually add fat at the brow-upper lid junction. Fortunately, essentially all cases of post-blepharoplasty hollowness can be improved dramatically by structural fat grafting. It is a more challenging procedure, as scar tissue must be overcome to create space for the grafted fat, and in many cases it takes more than one fat grafting procedure to restore adequate fullness in these patients. Lower lid hollowness following an overly aggressive lower blepharoplasty can likewise be improved. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery.This is a delicate surgery that requires significant experience and expertise from your surgeon. Take your time looking at photos, checking credentials and speaking to patients before undergoing a corrective blepharoplasty surgery
Helpful 2 people found this helpful
March 8, 2014
Answer: Terrible blepharoplasty Dear Devon54Sorry to hear about your experience.The first priority is to protect your eye.If you can close your eyelids that is good as it will keep the eye moist by spreading the tear film.You can use 'artificial tear drops' 2 drops 2 hourly and gradually increase it to 4 hourly. This ensures that the eye is moist and you don't have the gritty sensation. If you still have symptoms despite using these drops, then you should see an Eye Specialist who can look into your eye to assess the state of your eye and cornea.It is 4 weeks since your op and it is natural to feel tight. Over the next 2 months the tightness will relax and it will be feel much better. It will continue to improve upto 12 months.You will benefit from a second opinion if you want something done to lower your eyelid crease, you would like the tightness fixed or you want the weakness in the eyelid muscle ( slight droop) corrected.You should see Plastic Surgeon who has a special interest in Eyelid SurgeryAll the best
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March 8, 2014
Answer: Terrible blepharoplasty Dear Devon54Sorry to hear about your experience.The first priority is to protect your eye.If you can close your eyelids that is good as it will keep the eye moist by spreading the tear film.You can use 'artificial tear drops' 2 drops 2 hourly and gradually increase it to 4 hourly. This ensures that the eye is moist and you don't have the gritty sensation. If you still have symptoms despite using these drops, then you should see an Eye Specialist who can look into your eye to assess the state of your eye and cornea.It is 4 weeks since your op and it is natural to feel tight. Over the next 2 months the tightness will relax and it will be feel much better. It will continue to improve upto 12 months.You will benefit from a second opinion if you want something done to lower your eyelid crease, you would like the tightness fixed or you want the weakness in the eyelid muscle ( slight droop) corrected.You should see Plastic Surgeon who has a special interest in Eyelid SurgeryAll the best
Helpful 2 people found this helpful
