Worried about a revision. What is the earliest time an eyelid revision can be done? (Photo)

Question

I don’t know why one eye looks completely different than the other because my PS didn’t not explain much. I am worried about getting a revision. What is going on with this eyelid? Also, what is the earliest time a revision can be done? I am days away from 6 months post op. Is this from scar tissue or was not enough taken off this eye? I’d like to know how long before you wait to revise a patient?

Kenneth D. Steinsapir, MD · Answer

There is no substitute for an actual in person examination and clinical assessment. All of your photos, you are looking down not straight ahead. That makes it less certain about the precise position your upper eyelids rest on the eyes. Generally you have bilateral upper eyelid ptosis that was unaddressed by your eyelid surgery and may actually have been made worse. The fold on the left side is collapse because of a central partial or complete central levator disinsertion. This is the basis for the compensatory left eyebrow elevation. The central levator disinsertion and the compensatory eyebrow elevation means that not enough volume to form an upper eyelid fold like you have on the right side. The vast majority of eyelid surgeons do not understand these types of issues. Their solution would be to cut out eyelid on the right side to make it look like the left side. This will skeletonize the appearance of the eyes and make you look older and surgical. Please do not let your plastic surgeon do this to you. I am adding a link to an article I wrote on this subject. You are ready for revision now having waited 6 months. No further improvement will occur so if you are being told you need to wait longer, that is not necessary. Your eyes can be your best feature.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos looks like your one eye still have extra skin above the eyelid. Also your eyes corners are very downward. For improve the symmetry between your eyes, gain more upward looking and get rid of the extra skin I suggest revision upper eyelid surgery and cat eye procedure ( for making the eyes more slanted and upward.). You can have your revision surgery after 6 months but It would be more convenient to decide with face-to-face consultation. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Thomas Spalla, MD · Answer

It does appear that there could be more skin removed on the right since the eyelid creases do not line up well. I'd recommend you wait a year prior to considering a revision to allow for scar maturation and a better assessment of long-term asymmetry.

Tanya T. Khan, MD · Answer

Hello, it looks like one eyelid crease is higher than the other. Typically we use your native eyelid crease for the incision placement and if the crease  has moved upward with time, we try to restore symmetry by surgically reestablishing the crease position if necessary. You should see an oculoplastic surgeon for further evaluation.

Kenneth R. Francis, MD, FACS · Answer

Dear pwnarly,
You did not tell us when your blepharoplasty was performed.  In general, a revision would not be considered before 6 months.  If your PS did not explain much, demand to know more.  Also, review your before and after photos to determine if there was in fact a preoperative asymmetry.  Good luck!

Worried about a revision. What is the earliest time an eyelid revision can be done? (Photo)

Answers (5)

Answer: Revision

Answer: Revision

Answer: Blepharoplasty revision

Answer: Blepharoplasty revision

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Everything you need to know about Eyelid Surgery

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Worried about a revision. What is the earliest time an eyelid revision can be done? (Photo)

Answers (5)

Answer: Revision

Answer: Revision

Answer: Blepharoplasty revision

Answer: Blepharoplasty revision

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.