Ptosis surgery - undercorrection? (Photo)

My practice includes revision of unsatisfactory ptosis surgery.  Ptosis surgery has a very high failure rate.  It is not like taking an appendix out.  The eyelids need to heal even while you are using them.  The fix is to surgically revise the upper eyelid.  I would approach this with a revisional anterior levator resection ptosis surgery.  If you had a levator plication, it is possible that the plication separated.  However, often when I explore these eyelids, it is clear that a variety of issues develop after the original surgery.  These revisions are hard and many surgeons do not want to do them.  There is no urgency to have surgery.  Unfortunately people will think you are lazy or stoned with a heavy eyelid like this.  My out of town patients spend about 8 days in Los Angeles after surgeries like this before they are ready to travel home.

Its really hard to tell since you should be judging that by seeing if your lid margins are at the same height nor not?  If at the same height (or relationship to the iris), you have something else happening and a different procedure would be needed.  So you should see your surgeon and be evaluated for recurrence of ptosis or some other cause of your asymmetry.