Oculoplastic surgeon did my original surgery? What do I do now? (Photos)

Question

I had an upper and lower blepharoplasty done at the beginning of July just over two months ago. My upper eyelids have scarring and some puckering my lower lids have scarring and some retraction. My physicians been treating them with an injectable steroid. These procedures haven’t gone at all how I would expect and now I’m trying to come up with some solutions. I recognize that I probably won’t be able to have a surgical solution for many months, but I would like a plan.

Kenneth D. Steinsapir, MD · Answer

The steroids are effective at reducing inflammation but they also kill fat and unnecessarily hollow the eyelids. There are better options if you in fact need inflammation managed. However, sometimes less is more. You are two months out. You could have reconstructive surgery as early as month 4 but waiting to month 6 is a better option. Things will continue to improve in the upper eyelid as you heal further. I would recommend a second opinion consultation from an expert in eyelid reconstruction. This can be very helpful emotionally. No surgical speciality offers guaranteed eyelid surgery results. The repairs are highly specialized and usually beyond the skills of the primary surgeon. Your eyes can be your best feature.

Kenneth R. Francis, MD, FACS · Answer

Dear skeyes,
Thank you for the pretty good photos.  However, there are many things that we do not know.  Your age, your preoperative lower eyelid tension, preoperative photographs, and the exact procedures that were performed would be vital to assessing a result when it comes time to assess a result.  At 2 months postop, you cannot assess a result.  Your plan for now should be patience.  Good luck.

Oculoplastic surgeon did my original surgery? What do I do now? (Photos)

Answers (2)