I have had two different surgeries on my lower eyes. Neither worked. Where should I go fo the best eye surgery?
When to Seek a Oculoplastic Surgeon As Opposed to a Facial Surgeon?
Doctor Answers 9
Revision Eyelid Surgery
Depending on the problem (s), you may benefit from having your revision done by an occuloplastic surgeon. This depends on the nature and complexity of the problem. If it is a simple matter of aesthetic dissatisfaction, any facial plastic or plastic surgeon, with a strong background and experience in eyelid surgery would likely be able to help you meet your goals. However, on the other hand, if the problem is functional, you would be best treated by an occuloplastic surgeon who specializes in the particular problem. Good luck.
Seek oculoplastic surgeon for complex cases
Where to go?
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The title is not everything. Some facial or general plastic surgeons are very good at doing eyelids. It is important to find out if your surgeon has the training and experience in doing this surgery. Look at his/her pre and postop pictures and find out how he/she is going to fix the problem you have. It is important that he/she understands exactly what your concern is.
Revision eyelid surgery
Oculoplastic surgeons are ophthalmologist who have had extensive training/experiene in eyelid anatomy and surgery. Performing surgery on previously operated eyelids is especially challenging and I recommend consultation with an oculoplastic surgeon.
This is a complex question, as you already know. There is much overlap in the procedures performed by plastic surgeons, facial plastic surgeons, and oculoplastic surgeons. The first step I would pursue is to return to the surgeon who performed your most recent surgery. You may not desire a further procedure performed by this physician, but it is always better to have more information and opinions than less. Living in Los Angeles, there are a plethora of specialists you may visit for no cost. I personally would seek the opinions of several plastic surgeons as well as oculoplastic surgeons. It may help to review their before and after pictures and speak to some of their former patients. Take your time in seeking a revision. You have had 2 procedures that have failed to meet your expectations and would certainly like to avoid a third. Personal referral is the best. It may also help to speak with your primary or other physician to get a referral.
Oculoplastics vs Facial Plastics
In general the more complex your eyelid issues are, the more you should consider an oculoplastic surgeon (also known as ophthalmic plastic surgeon). After two failed surgeries, I would recommend an oculoplastic surgeon. Having said that, some things cannot be undone and you may have to settle for improvement, not perfection.
Revision Lower Eyelid Surgery
I would agree with the previous surgeon's statement that an oculoplastic surgeon might be your best choice for a third surgery on your lower eyelids. Compared with other specialty plastic surgeons, oculoplastic surgeons do have more in depth expertise in this particular anatomy and surgery. This might make a significant difference in attempting to salvage your results with further revision surgery. Best of luck.
Generally oculoplastic surgeons have deeper training in eyelid surgery.
Having said that, please don't confuse credentials with results. This is where it is extraordinarily challenging to find the right doctor. This is especially true when it comes to redo surgery. Fixing an unsatisfactory eyelid surgery is highly specialized. Only about a dozen surgeons in the world devote a significant portion of their practice to revising prior unsatisfactory eyelid surgery. The work requires very specialized techniques and extensive experience. Los Angeles has a number of these surgeons including myself. As always, it is in your best interests to obtain several opinions before deciding on a particular surgeon.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.