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Kenalog injection to lower lids 2 months after lower blepharoplasty. Heard Dr. request a "conservative" dosage. (photo)

pekkleAug 15, 2016
My ps gave me a kenalog injection under each eye last week for my 2-mth followup. He had suggested it earlier in my 2-wk f/u because I still had swelling. I'm a bit nervous now after reading a bit on steroid injections to lower lids. So far a week after injection I'm not seeing much if any changes on the right puffier eyelid. I noticed this morning a thin red line on my left lid. I'm so worried now about tissue atrophy and indent. Will steroid continue to affect my lower lids for up to a month?

Answers (4)

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Dr. Mehryar (Ray) Taban, MD, FACS
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Dr. Mehryar (Ray) Taban, MD, FACS
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.9 | 377 Reviews
Answered on Aug 17, 2016
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1 person found this helpful
Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 79 Reviews
Answered on Aug 17, 2016
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Dr. Toby Mayer, MD
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Dr. Toby Mayer, MD
Board Certified Facial Plastic Surgeon
4.7 | 101 Reviews
Answered on Aug 17, 2016
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1 person found this helpful
Dr. Michael Elam, MD (retired)
Dr. Michael Elam, MD (retired)
Board Certified Otolaryngologist
Answered on Aug 17, 2016
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Kenneth D. Steinsapir, MD

The most significant issue here is upper eyelid ptosis.  You also have a compensatory brow elevation.  Blepharoplasty only removes skin muscle and fat.  This type of surgery will basically deform you and leave you looking surgical.  You have significant upper eyelid ptosis.  The ptosis must be c...

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Mehryar (Ray) Taban, MD, FACS

You might benefit from upper lid ptosis surgery to make eyes more open but not sure about almond eye surgery. See link below. Please see an oculoplastic specialist for in person evaluation.

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Thomas J. Walker, MD, FACS

There is no difference. I think there was a confusion of terms. A transconjunctival blepharoplasty is a type of lower blepharoplasty. There are 2 main types of lower eyelid blepharoplasties: (1) transconjunctival versus (2) subciliary. The difference between the 2 is the incision...

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Kenneth D. Steinsapir, MD

Those are normal blood vessels.  I do not recommend messing with them.  No one notices those but you.  Your eyelids need those vessels.  If a goofball tried to laser them close, there is a risk that the eye could be harmed. Just forget about it. 

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Kenneth D. Steinsapir, MD

You have a head tilt.  Presumably this will be improved with the strabismus surgery.  It is important that you weight a full 6 months after the surgery to let your head posture adjust to the new surgery.  It will be much easier to judge what is going on at that point.  Best of luck to you and...

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