Mullerectomy Correction within 6 weeks? (Photo)

Question

I had a mullerectomy just over 4 weeks ago (pic at 4wk), to address a very mild case of proptosis. My occuloplastic surgeon does not believe the healing is going as expected. The swelling is gone but the eyelid is now droopy and has not risen for 2 weeks. He thinks the levator tendon has moved back from the tarsal plate, and would like to go in at the 6-7wk mark to use 1-2 stitches to bring it closer. Does this sound right? What's my risk of ending up worse off?

Kenneth D. Steinsapir, MD · Answer

That means that the Mullerectomy can not be expected to correct your ptosis. I most definitely anyone revise your surgery until the tissues have healed much more. At 4 to 6 weeks, the eyelid tissue will be their most inflamed. The tissues should be allowed to fully calm down before reoperating on the eyelid. Generally I recommend waiting 4 to 6 months before performing these revisions. Unless your eyelid surgeon routinely performed anterior levator resection ptosis surgery, they may nor may not be able to satisfactorily perform an anterior levator resection ptosis surgery. In my opinion, surgeons who routinely perform anterior levator resection ptosis surgery would have employed this approach initially.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions and posting your photos. Your eyelid should be more elevated, but can be corrected by the second procedure. In the hands of an experienced oculoplastic surgeon the likelihood of success is very good. 
Good luck,

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Mullerectomy Correction within 6 weeks? (Photo)

Answers (2)

EYELID SURGERY PROVIDERS NEAR YOU