Eyes dropped after Upper Blepharoplasty - Will a Ptosis Revision help? (photos)

Question

I got Ptosis correction and upper blepharoplasty since my left eye was drooping. 2 weeks after, my eyes were great! Then 6 weeks after, they dropped. Will a revision possibly correct the issue? My surgeon claims it's only a 1mm difference between the 2 eyes and it's an easy fix... and opening them more will look unnatural. I miss where they were 2 weeks post op!

Tanya T. Khan, MD · Answer

It looks like the internal sutures must have broken for the lids to have dropped again so suddenly. It is important in the post op period that you not apply too much pressure to the wounds, including sleeping on your stomach. This is something your surgeon should be able to correct with a revision surgery.

Mehryar (Ray) Taban, MD, FACS · Answer

Yes you likely can benefit from ptosis surgery, likely using a different technique. Need more detailed evaluation to determine. See an expert.

Zoran Potparic, MD · Answer

It happens, for several reasons, that ptosis need to be revised, like in your case. If result is so different from correction which you show on your 2 week photo, we would consider revision ASAP rather than waiting. Second opinion consult may be needed. Good luck.

Marc Polacco, MD · Answer

Thank you for your question. Yes, a revision surgery could lift your eyelids back to what they were at two weeks. There is always going to be a degree of stretch back, but to me it looks like your lid position is almost the same as pre op, and more tightening would be okay pending there aren't underlying medical causes that aren't addressed, such as myasthenia gravis. 
Best,
Dr. P

Kenneth D. Steinsapir, MD · Answer

However, the reality is that your eyelids are not done healing. You and your surgeon need to be patient before pronouncing that what you have is the final result. Eyelids are far from healed at week 6. They need months not weeks. I personal seldom consider a request for revising an eyelid before the eyelid has healed for 6 months. I have colleagues who wait even longer and advocate 12 months. I think that is excessive generally. However there is an occasional eyelid that needs more time than 6 months before making a final assessment. However, if your result looks very much like you 6 week result, then yes, you will need and benefit from a surgical revision.

Eyes dropped after Upper Blepharoplasty - Will a Ptosis Revision help? (photos)

Answers (5)

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