Surgery to Increase Scleral Show?

I would like to know about surgery to increase scleral show and who does this.  How involved is the surgery? What is the approximate price range? How long is the recovery? My eyes do not open very much - the iris is partially covered, top and bottom, and very little white shows. My vision is not affected by this. It seems like it would be a relatively simple surgery. Is this the case, or is it more involved? Thank you for any information you can give me.

Doctor Answers 4

An actual personal cosultation is need to answer these questions

Increasing scleral show directly effects how the eyelids protect the eyes. The more white or sclera is seen, the bigger the eyes look. However this also increases the exposure of the eyes to drying from the eyes. Strategies to carry this out includes lifting the upper eyelid with ptosis procedures. The lower eyelid is alterted with lateral canthal reconstruction. This requires a detailed customized approach based on your unique anatomical feature

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Increase scleral show

Thank you for the question. Usually scleral show is a complication of eye lid surgery. If you mean that you have drooping of the upper lid, then that is a different story and that can be corrected with surgery.  This is referred to as ptosis and is when the upper lid droops and covers a portion of the iris and pupil. Surgery for this is something that not all plastic surgeons do, so you want to be sure to consult someone with a lot of experience with this procedure. Good luck.

Steven L. Ringler, MD, FACS
Grand Rapids Plastic Surgeon
4.9 out of 5 stars 70 reviews

Increase scleral show

Usually scleral show is not encouraged and a complication of eye lid surgery. If you mean that you have upper lid ptosis, then that is a different story and that can be corrected with surgery.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Surgery to increase scleral show

Without good clinical pix to assess lid position it is impossible to give a focused answer, but scleral show is not something that plastic surgeons try to achieve. It sounds that you have some type of upper lid laxity or other lid malposition which can be corrected to give the appearance of a larger eye.

Barry H. Dolich, MD (Retired)
Bronx Plastic Surgeon
4.0 out of 5 stars 1 review

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.