Ptosis revision needed? (Photo)

Question

I am 7 days post op on bilateral ptosis surgery. Much of the swelling has gone down but there's only a slight improvement in my right eye. I know it will come up a little more in coming weeks, but does it look like a revision will be needed?

John J. Martin, Jr., MD · Answer

You are very early in the healing phase.   As the swelling goes down, the lid will start to open up more.  Hopefully as the swelling resolves and the muscle starts working better the eyes will be symmetric.  If at 6 months there is an asymmetry it can be dealt with at that time.

Kenneth D. Steinsapir, MD · Answer

Generally immediately swelling makes the eyelids heavy right after ptosis surgery. As the swelling goes away, the eyelids typically open up. This process goes on for many months.  For that reason, it is often necessary to wait a full 6 to 12 months to know how you did with a surgery.  At the end of that time frame, if the eyelid position is not satisfactory, revisional surgery is an option.

Curtis Wong, MD · Answer

so give it time and you may be surprised on how everything may even out prior to then.  Once healed,  if you find your lid still hanging, you can discuss your concerns with your surgeon.

Richard Weiss, MD · Answer

I see that you had the surgery through the skin.  Wait at least a month to evaluate the results of your surgery.  If it is still a little low, it can be fine tuned with a simple office procedure from behind the eyelid, without needing another skin incision. Looks good so far. Good luck.

Sara A. Kaltreider, MD (retired) · Answer

As your swelling resolves, the lid level will change. Whether it will require revision is impossible to predict at 7 days post-op. Revisions should not be done before 6 months unless there is a large over- or under-correction. If revision is necessary, it is generally an easier process than the initial surgery and often may be done in an office setting. Best wishes.

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