Is a revision surgery common? (Photo)

Question

I had eyelid surgery 9 months ago. My left eye began sagging a month ago? Do I need to have a revision surgery and should I return to my original surgeon? I'm unsure.

Eric M. Joseph, MD · Answer

Based on your limited photos, you appear to have a droopy upper eyelid appearance on both sides, perhaps worse on the left. Depending on your examination, ptosis repair may be considered, and I would recommend seeing an oculoplastic surgeon familiar with this operation. Thank you for your question. Sincerely, Dr Joseph

Thomas Buonassisi, MD · Answer

While revision surgery isn’t uncommon following eyelid procedures, each case is unique. Eyelid tissues can shift slightly over time as they heal, which may lead to asymmetry, especially since healing often continues beyond the initial months post-surgery. It’s often recommended to revisit your original surgeon, who is already familiar with the initial procedure and healing progress, for an assessment. They can determine if the sagging is part of a normal healing process or if a revision might help achieve a more balanced result.

Steven Schuster, MD, FACS · Answer

This is a question I am often asked. sometimes people think excess skin removed will solve the problem but other times it may be necessary to do what is called a ptosis repair to repair the levator muscle.  This 
 problem can occur  as a congenital deformity, aging problem from stretch for sometimes after a cataract operation.  The important thing is that it is recognized at the time of surgery and treated accordingly.  I would recommend going back to your original surgeon as he would probably be the best suited to treat this problem good luck and hopefully or problem will be solved.

Mats Hagstrom, MD (license on probation) · Answer

It looks like you have significant upper eyelid ptosis. This can be improved slightly with an upper eyelid blepharoplasty.
And more solid approach would be skin/muscle(orbicularis) removal and repositioning of the levator muscle.Surgeons usually take care of their own patients, but sometimes it may be appropriate to find a more talented provider.
Consider consulting with senior oculoplastic surgeons in your community.
To make an accurate assessment regarding the outcome of any plastic surgery procedure, we usually need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
If you’re consulting for a second opinion, then come prepared to bring with you a complete set of proper before and after pictures and a copy of your operative report.
These are part of your medical record and are available from your current provider office if you request them.
Best,
Mats hagstrom MD.

Is a revision surgery common? (Photo)

Answers (4)

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