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9 months post-op - can you advise on botched ptosis & blepharoplasty? (Photos)

cchelseaaxoMay 22, 2022
I’m about to be 9 months post op in 19 days & I’m extremely unhappy with my results. As u can see in my before pic, my left eye *the eye that got operated on* was smaller than my right eye. But now, my left eye is the bigger eye AND my crease doesn’t look right at all. I can’t do my eyeliner the same anymore it’s so depressing. I feel like my surgeon “over corrected” my left eye. He said I have what’s called “hering related right upper eyelid ptosis” but idk.. I cry daily about this

Answers (1)

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on May 23, 2022
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A.J. Amadi, MD

Based on your last 2 photos, you have a slight over correction as you eyelid margin (where lashes are coming out) is slightly highe than the top of the cornea. Ideally, it would be sitting about 1 mm below the top of the cornea. You also have slight lagophthalmos (gap between eyelids) when your...

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Kenneth D. Steinsapir, MD

What you need aesthetically and what you are likely to get covered by the NHS will not be the same. In my practice, I would offer bilateral anterior levator resection ptosis surgery with anchor blepharoplasty. The skin on your eyelid platform needs to be controlled to make it smooth. I do not...

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Kenneth D. Steinsapir, MD

That is because you have a complex history. There are few few surgeons who are really going to be able to help you with this issue. You need a detailed in person examination to determine if the muscle that needs to lift the right upper eyelid is working adequately. The function we are looking...

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A.J. Amadi, MD

There is a eyelid asymmetry, however if we look at the photos very closely, you can see that the right eye socket and eye is slightly higher than the left side. This is usually a congenital anatomic variation; that is, it is present at birth. However, if you feel that the asymmetry is becoming...

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Mehryar (Ray) Taban, MD, FACS

Although it appears you have left upper eyelid ptosis, I believe it is too mild for surgery (although need more detailed evaluation to determine). An alternative option may be right upper blepharoplasty for improved eye symmetry.

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Kenneth D. Steinsapir, MD

It its unlikely that more time will make more difference. The right upper eyelid is still heavy. Your have minimal double folds. Was that your goal? Often people want a little more platform exposure. Regarding what can be done, there is simply no substitute for a detailed in person assessment to...

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