I had eyelid surgery about 10 months ago to correct my eyelid crease and excessive skin. The scar is still visible and I am left with extra eyelid creases. I noticed that my lids are not even and when I look down one eyelid is higher than the other one. It also seems that I have a sunken eye. This has been my fourth surgery in which 3 of them was to correct Ptosis and this last one was to correct the excessive skin. I my question is if I should have revision surgery
August 1, 2024
Answer: Revision 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.
Helpful
August 1, 2024
Answer: Revision 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.
Helpful
July 31, 2024
Answer: Don't have your current surgeon try to repair this, 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.
Helpful
July 31, 2024
Answer: Don't have your current surgeon try to repair this, 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.
Helpful
