Post ptosis surgery question about how to revise a high incision and extra eyelid fold. Should I get a second opinion? (Photo)
Doctor Answers 3
Let's call this what it is-a ptosis surgery fail.
Your upper eyelid is now worse after ptosis surgery than it was before ptosis surgery. This can happen in the best of hands but it is quite rare.
At three weeks your surgeon is not being honest with you when they tell you that this eyelid needs to heal more. This eyelid is never getting to where it needs to be. I am also troubled by your surgeon's statement that you need a little office procedure to remove the fold of skin. Do they actually believe that or are they simply telling you that and plan to actually correct the ptosis when they have your eyelid open? If the plan is to simply remove the extra fold of skin, this is a big mistake. You have that because the ptosis surgery worsened the upper eyelid ptosis. Now the levator aponeurosis and associated orbital fat are further retracted into the orbit. Snipping this extra fold of skin will not fix the now even heavier upper eyelid. Instead it will only make the hollowness and long right upper eyelid platform more obvious. What you need is a definitive repair of the right upper eyelid ptosis with an appropriately performed anterior levator resection ptosis repair. The anterior orbital fat needs to be released into the upper eyelid fold. The right upper eyelid crease can be lowered at the same time. Any spare skin will be needed to accomplish this.
I would be much more comfortable with your current surgeon if they told you the truth that the surgery is a fail for whatever reason and the eyelid needs to be revised. While it is best to wait many months, an early repair after 8 weeks could be consider for social reasons. I strongly recommend that you find another surgeon for this work. You need a very experienced individual for this and it is worth your while to travel for this type of work.