Eyelid surgery - should I have a revision? (Photo)

I understand that you have someone want to creases, however, you have a relatively pleasing and an operated looking eyelid appearance. The feasibility of the fifth surgery would require consultation with an expert oculoplastic surgeon. If you could live with what you have, that may be the best option. Thank you for your question. Sincerely, Dr. Joseph

You have a complex problem but improvement is likely with likely combination of revision surgery and filler. See an expert.

You definitely sound like you're in a complex situation having undergone 4 surgeries already, and it appears that the ptosis surgery, despite 3 attempts, is not resolved.
In general, revision could be considered about a year after your last surgery to allow for scar maturation. In the meantime, I would highly recommend that you consult with an experienced oculoplastic surgeon or two given how challenging your situation is. This may be a situation of diminishing returns with each further surgery and an increased risk with each intervention.

Your ptosis has been corrected but the excess skin has not. You may want to undergo a skin revision again. However, it is unusual to have so many blepharoplasties in a short period of time.

Best Wishes,

Gary Horndeski, M.D.

You need an entirely different approach. The key to successfully improving this eyelid is what sort of resources are left in the eyelid. Your crease is too high. In addition you do not have enough volume in this upper eyelid fold. The multiple creases are the consequence of unwanted attachments between the skin and orbicularis oculi muscle and the underlying tendon. In lowering the upper eyelid crease, these attachments need to be broken down. In order for this repair to be successful, you need preaponeurotic fat mobilized into the fold. The fat may be present or may be missing. An in person assessment often confirms the presence of pre-aponeurotic fat. Ultimately the only way to fully understand the underlying anatomy is to open up the eyelid. Graft fat is seldom helpful for these because grafted fat is too stiff to allow the upper eyelid fold to function properly. You should be cautious if a surgeon promises you the stars, the moon, and the sky. These are challenging to fix but it is possible.

Some asymmetry may be expected even after perfectly executed ptosis if condition is unilateral. In your case I would suggest waiting few more months for result of last surgery mature and discus possible options for creating more symmetry with your surgeon. good luck