I had a traditional (subciliary) lower blepharoplasty performed 7 weeks ago to address my concerns with under eye wrinkles and circles. At my 6 week post-op he was very dismissive of my concerns about scleral show & rounding, chalking it up to how my eyes can appear different when I raise my eyebrows or even tilt my head(?!?) What would get my old eye shape back, how long should I wait before doing anything, and should I let him fix it or find an Oculoplastic surgeon?
Answer: Lower eyelid retraction surgery after prior blepharoplasty with rounded eyes You do have lower eyelid retraction with sclera show and rounding of the eyes. Lower eyelid retraction surgery to create more natural almond shaped eyes is possible. See an experienced oculoplastic surgeon. But do understands that it is NOT just canthoplasty. Also, it may or may not require spacer graft as I have recently published. You can find manuscript on my website link.
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Answer: Lower eyelid retraction surgery after prior blepharoplasty with rounded eyes You do have lower eyelid retraction with sclera show and rounding of the eyes. Lower eyelid retraction surgery to create more natural almond shaped eyes is possible. See an experienced oculoplastic surgeon. But do understands that it is NOT just canthoplasty. Also, it may or may not require spacer graft as I have recently published. You can find manuscript on my website link.
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April 19, 2017
Answer: Mild lower eyelid retraction You do indeed have mild bilateral lower eyelid retraction after your blepharoplasty. This is not an uncommon occurrence and is due to some scarring in the middle layer of the eyelid. Massage the outer lower eyelid margin upward several times daily. With time, this mild post-operative change may be improve. Allow a minimum of six months to heal and re-evaluate. Reconstructive surgery may involve re-suspending the eyelid, releasing scar tissue and possibly placing a graft of tissue. It is not the most straight-forward solution so it is definitely better to be a little patient and give your body time to heal. Definitely see an oculoplastic surgeon experienced in such cases. Good luck.
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April 19, 2017
Answer: Mild lower eyelid retraction You do indeed have mild bilateral lower eyelid retraction after your blepharoplasty. This is not an uncommon occurrence and is due to some scarring in the middle layer of the eyelid. Massage the outer lower eyelid margin upward several times daily. With time, this mild post-operative change may be improve. Allow a minimum of six months to heal and re-evaluate. Reconstructive surgery may involve re-suspending the eyelid, releasing scar tissue and possibly placing a graft of tissue. It is not the most straight-forward solution so it is definitely better to be a little patient and give your body time to heal. Definitely see an oculoplastic surgeon experienced in such cases. Good luck.
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April 18, 2017
Answer: You are correct that you have a change in the lower eyelid. However, if that is the worst of the change, this is pretty subtle. I think there is not harm to carefully done lid massage that is physician supervised. Repairing the lower eyelid is very expensive and fussy. Unless there is dry eye symptoms or the issue is worse than what you captured in these photos, it may not be worth spending the time and money to fix these. The eye sadness is more related to your post upper blepharoplasty syndrome that affects the upper eyelid with ptosis, lash ptosis, and a hollow upper eyelid sulcus. The shading of the cornea makes the eyes look dull. That can be helped with reconstructive surgery. While there are many talented oculoplastic surgeons in your area, they are not dedicated to post aesthetic surgery reconstruction. Let the eyelids heal 6 to 12 months before having revisional surgery. Your current surgeon does not have the skills to perform this work.
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April 18, 2017
Answer: You are correct that you have a change in the lower eyelid. However, if that is the worst of the change, this is pretty subtle. I think there is not harm to carefully done lid massage that is physician supervised. Repairing the lower eyelid is very expensive and fussy. Unless there is dry eye symptoms or the issue is worse than what you captured in these photos, it may not be worth spending the time and money to fix these. The eye sadness is more related to your post upper blepharoplasty syndrome that affects the upper eyelid with ptosis, lash ptosis, and a hollow upper eyelid sulcus. The shading of the cornea makes the eyes look dull. That can be helped with reconstructive surgery. While there are many talented oculoplastic surgeons in your area, they are not dedicated to post aesthetic surgery reconstruction. Let the eyelids heal 6 to 12 months before having revisional surgery. Your current surgeon does not have the skills to perform this work.
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April 18, 2017
Answer: Post lower lid surgery You do have some scleral show, worse on the left. This may improve over the next couple of months. Try some warm compresses and massage the outer part of the lid upwards. If at 6 months you are still low, can have a revision done. See an oculoplastic surgeon - there are several good ones in your area.
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April 18, 2017
Answer: Post lower lid surgery You do have some scleral show, worse on the left. This may improve over the next couple of months. Try some warm compresses and massage the outer part of the lid upwards. If at 6 months you are still low, can have a revision done. See an oculoplastic surgeon - there are several good ones in your area.
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April 18, 2017
Answer: Scleral show and lateral rounding Thank you for your question. And for providing photos. You should ALWAYS see an ophthalmic plastic surgeon if you are considering any type of eyelid surgery or revision as the depth of our training is probably a thousand times greater for this anatomic area than that of a general plastic surgeon. It is possible that you might have to have lateral canthoplasties in the future. But I believe there is an excellent chance for your eyelids to return back to their pleasing preop shape and positions. Give it a full six months from surgery and do eyelid pushups (push up and in gently on the lateral corners) while waiting. Good luck!
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April 18, 2017
Answer: Scleral show and lateral rounding Thank you for your question. And for providing photos. You should ALWAYS see an ophthalmic plastic surgeon if you are considering any type of eyelid surgery or revision as the depth of our training is probably a thousand times greater for this anatomic area than that of a general plastic surgeon. It is possible that you might have to have lateral canthoplasties in the future. But I believe there is an excellent chance for your eyelids to return back to their pleasing preop shape and positions. Give it a full six months from surgery and do eyelid pushups (push up and in gently on the lateral corners) while waiting. Good luck!
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