Scleral Show 1 Weel After Blepharoplasty, Should I Wait to do Anything? (photo)

Question

I have developed scleral show after several days of lower lid blepharoplasty. Now it is 8 days since the surgery. Anything I should do right now, or should I wait? Scleral show is not extreme, but my eyes are different.

Kenneth D. Steinsapir, MD · Answer

You do appear to have a pulled down right lower eyelid with scleral show.  The doctors here are correct to point out that this appearance will improve with time.  However, there are some steps your surgeon can take to attempt to improve the situation: taping, finger winking, and possible antiiflammatory injections such as kenalog and 5FU.  If this malposition does not respond to intervention, then tincture of time can be very helpful.  It is this reason that revisional surgery is not seriously consider until you have healed for 6 to 12 months.

Stephen Prendiville, MD · Answer

The first thing I would recommend is that you maintain close contact with your Surgeon.  This early lid retraction may be related in part to swelling of the conjunctiva, or chemosis.  Although this is disconcerting, it generally resolves without sequellae.  Support for the lateral canthus via taping can be helpful, but time is likely to be the determining factor.

Lawrence Kass, MD · Answer

The results of your surgery are best judged 6 months after surgery, not eight days after.  If you trusted your doctor to do your surgery,  I would advise asking him/her these questions, rather than asking the doctors on this forum as he/she is a better judge of your results.  I would also advise staying away from a mirror for the next couple of weeks.  Good luck!

Kamran Khoobehi, MD · Answer

You lower lid tissue is loose and will not improve a lot. I would recommend canthoplasty and I would do it early than late to avoid scaring . Your before picture would be helpful.

Steven Wallach, MD · Answer

Scleral show can develop after blepharoplasty. Massage and good lubrication often improves the situation, but I would discuss this with your doctor.

Scleral Show 1 Weel After Blepharoplasty, Should I Wait to do Anything? (photo)

Answers (9)

Answer: You may benefit from early canthoplasty

Answer: You may benefit from early canthoplasty

Answer: Scleral show after surgery

Answer: Scleral show after surgery

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Everything you need to know about Eyelid Surgery

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Scleral Show 1 Weel After Blepharoplasty, Should I Wait to do Anything? (photo)

Answers (9)

Answer: You may benefit from early canthoplasty

Answer: You may benefit from early canthoplasty

Answer: Scleral show after surgery

Answer: Scleral show after surgery

Browse related questions

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.