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Is post sympathectomy ptosis more difficult to fix? Two failed surgeries in 6 months (Photos)

My surgeon has said this is the first time he's done surgery for postsympathectomy ptosis and thinks this may be the reason the revision also failed, although I could just be extremely lucky. I'm a 24 year old healthy male, my pupils used to be the same size and eyelids were even prior to a surgery I had a few years ago which caused the ptosis. Despite two failed surgeries I am really hoping to get my eyes more symmetrical, but is my more rare case a more difficult procedure?

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I've had two ptosis surgeries not work, would a third one be more difficult? (photo)

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John Michael Thomassen, MD

I would first get evaluated as to your uneven pupil diameter. This may be concerning for a lesion in the parasympathetic pathways.

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Second Ptosis Surgery in 6 months not worked? (Photo)

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KM
Kenneth D. Steinsapir, MD

At seven weeks after surgery, we can say that your second surgery is not working. The Mueller's muscle conjunctival resection ptosis surgery is the most popular type of ptosis surgery. Approximate 80% of ptosis surgery is performed with this approach. That is unfortunate because it often fails....

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Second pediatric ptosis surgery?

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Kenneth D. Steinsapir, MD

The outcome of pediatric eyelid ptosis surgery very much depends on the actual function and development of the muscle that raises the upper eyelid. When this muscle is not properly developed, options for having and eyelid that looks and functions normally are very limited. When there is good...

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Will ptosis surgery + revision upper blepharoplasty contour into an oval-like shape? (Photo)

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Kenneth D. Steinsapir, MD

It is possible to improve your eyelids, address your upper eyelid ptosis. It may even be possible to have much of your upper eyelid platform covered by the reconstructed upper eyelid fold. You need ptosis repair, crease lowering, and fold reconstruction. I offer this range of services. The goal...

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Does Müller muscle-conjunctival resection cause dry eyes?

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A.J. Amadi, MD

Although muller's/conjunctival resection has a lower chance of creating dry eye than levator advancement or resection, there is still a possibility as the eye is more open with more exposure to tear film evaporation.

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Failed Ptosis Surgery - what are my next steps? I would like to have another surgery done ASAP (Photo)

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Mehryar (Ray) Taban, MD, FACS

Revision ptosis surgery may be possible. It is complex. You need more detailed evaluation to determine. See an expert.

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