Is 4 weeks post op too late to begin massage on overcorrected eyelid after ptosis surgery?

Early massage may cause dehiscence of the would edges. Three to four weeks is an appropriate time to consider downward massage of a mildly over-corrected ptosis. In my practice I check patients weekly after the first postoperative visit (at one week). At the second week, if one lid appears over-corrected, I check the patient the next week and then begin massage if indicated. Specific instructions for massage technique are very important. I have my patients close the eyelid(s), place a finger over the tarsus (between the lashes and crease) and gently pull the lid down and hold for several seconds - repeating this 20 times, two sessions per day. It is important to follow progress carefully as too much massage can bring the lid down too far. Best wishes.