I understand having "show" is not uncommon. I know that Massage, eye drops and Steritape help lift/support help speed up the process. That said, she seems to have significant "Show". I am concerned this is not normal and will require Surgical Corrective action to resolve. My questions are: Is this "show" a regular/normal occurance? Can this much "Show" resolve on its own i.e. without surgery? What are other options to help resolve this probelm? based on the pictures what are your thoughts?
April 10, 2015
Answer: Scleral show following transcutaneous lower blepharoplasty This amount of show can be seen in the weeks following external approach to lower blepharoplasty. It is not an uncommon occurrence. Without being able to do a physical examination myself, and relying solely on the photos, I feel that in her case the circumferential muscle that encircles the eye isn't wanting to work well after the surgery. The appearance should improve as the muscle "wakes up" and starts to provide support again.This much show can absolutely resolve on its own without a revision surgery. In fact, I would expect it to. Close follow-up with your surgeon and adherence to his/her postop instructions are the best thing that you & your wife can do to advocate for yourselves at this time. You want a great outcome. So does your surgeon.Good luck! Please update us with her progress. Harry V. Wright MD
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April 10, 2015
Answer: Scleral show following transcutaneous lower blepharoplasty This amount of show can be seen in the weeks following external approach to lower blepharoplasty. It is not an uncommon occurrence. Without being able to do a physical examination myself, and relying solely on the photos, I feel that in her case the circumferential muscle that encircles the eye isn't wanting to work well after the surgery. The appearance should improve as the muscle "wakes up" and starts to provide support again.This much show can absolutely resolve on its own without a revision surgery. In fact, I would expect it to. Close follow-up with your surgeon and adherence to his/her postop instructions are the best thing that you & your wife can do to advocate for yourselves at this time. You want a great outcome. So does your surgeon.Good luck! Please update us with her progress. Harry V. Wright MD
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April 10, 2015
Answer: Scleral Show After Blepharoplasty Thank you for posting your pictures. This is one of the most common complication seen after a transcutaneous lower blepharoplasty. Seems from the picture that you have a negative canthal tilt (your lateral eye corner is lower than your medial) and this will predispose you to this type of complication since your eyelid has less support. Canthopexy or canthoplasty during the blepharoplasty is done routinely by many surgeons in patients at high risk for this complication (e.g. prominent eyes, negative eye vector, negative canthal tilt, etc). Since your problem is pretty obvious and I hardly believe it will resolve with conservative measures such as lateral eyelid push-ups, you may consider asking your surgeon for revision by either canthopexy/plasty (based on tissue mobility at the lateral canthus) immediately or you may need to wait instead 3 months after inflammation is improved. Best time to revise this problem is immediately after surgery or 3 months after. Worst time would be between 3-6 weeks. Good luck with everything. Hope this was helpful.
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April 10, 2015
Answer: Scleral Show After Blepharoplasty Thank you for posting your pictures. This is one of the most common complication seen after a transcutaneous lower blepharoplasty. Seems from the picture that you have a negative canthal tilt (your lateral eye corner is lower than your medial) and this will predispose you to this type of complication since your eyelid has less support. Canthopexy or canthoplasty during the blepharoplasty is done routinely by many surgeons in patients at high risk for this complication (e.g. prominent eyes, negative eye vector, negative canthal tilt, etc). Since your problem is pretty obvious and I hardly believe it will resolve with conservative measures such as lateral eyelid push-ups, you may consider asking your surgeon for revision by either canthopexy/plasty (based on tissue mobility at the lateral canthus) immediately or you may need to wait instead 3 months after inflammation is improved. Best time to revise this problem is immediately after surgery or 3 months after. Worst time would be between 3-6 weeks. Good luck with everything. Hope this was helpful.
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