Bilateral posterior Ptosis surgery results in Hering's Law due to overcorrection? (Photo)

Question

Had posterior double eyelid/bilateral ptosis surgery. Original eyes were symmetrically sleepy. Post op, left eye opens wider and causes muscle strain/migraines. Right eye is heavy/droops, can’t open fully from muscle tension. Asymmetry present post op but more obvious as swelling subsided. Left lash line peaks at certain angles. Doc suggests lowering left eye sutures in 6 months but thinks issue will resolve itself. Is this Herings Law or will my right eye open more while the left settles down?

Kenneth D. Steinsapir, MD · Answer

You are just swollen from your recent ptosis surgery. It is not possible at the moment to know what your outcome will be like. However, posterior ptosis surgery is not as reliable as ptosis surgeons claim. You did not offer a before surgery picture. Generally central levator disinsertion does not do well with posterior approach ptosis surgery in my opinion. Please repost in 2 months so we can see how you have done.

PTOSIS SURGERY PROVIDERS NEAR YOU

Bilateral posterior Ptosis surgery results in Hering's Law due to overcorrection? (Photo)

Answers (1)

PTOSIS SURGERY PROVIDERS NEAR YOU